Posters

Evolution of infectious keratitis in a patient treated with PRK and cross-linking

Poster Details

First Author: M. Lecumberri SPAIN

Co Author(s):    R. Alcubierre   M. Garat                 

Abstract Details

Purpose:

To report a case of infectious keratitis in a patient with keratoconus secondary to PRK + Cross linking.

Setting:

Hospital Moises Broggi Sant Joan Despí. Barcelona

Methods:

Case report

Results:

A 21-year-old female, diagnosed with Keratoconus, was referred to our department for ophthalmic evaluation and treatment. The patient was treated with PRK + Cross linking on her left eye (Athens protocol) following our standard protocol for keratoconus. After correct ephiteliazation the patient came with a decrease in visual acuity without other symptoms showing a Salzmann-like epithelial scarring which was treated with bandage contact lens and 0.4% hyaluronic acid drops. After parcial resolution the patient came again with redness but without pain showing a corneal infiltrate with new desephitelialization, the patient admited an episode of dirty manipulation of the bandage contact lens. The culture was positive to Streptococcus oralis.

Conclusions:

The microbial keratitis responded to sensible antibiotics according to the culture and resoved, but the cornea developed severe central corneal scar which was elected to corneal transplantation

Financial Disclosure:

NONE