Posters

Bacterial keratitis: a late complication after implantation of intrastromal corneal ring segments

Poster Details

First Author: E. del Fresno-Valencia SPAIN

Co Author(s):    M. Suarez-Fernandez   C. Navarro-Perea   J. Sambricio-Garcia   L. Hernandez-Pereira   R. Aburto-Noguera        

Abstract Details

Purpose:

To report a case of late bacterial keratitis after intrastromal corneal ring segments and show the importance of early diagnosis of this rare complication.

Setting:

12 de Octubre Hospital, Madrid (Spain)

Methods:

Review the clinical findings in a 44-year-old man with bilateral keratoconus who underwent implantation of Ferrara ring segments in her left eye and 12 months later presented with redness, photophobia and ocular pain. He had hyperemia, corneal infiltrates and an anterior chamber reaction of 4+, without hypopyon. A corneal epithelial defect was detected. The diagnosis of bacterial keratitis was made and medical treatment and rings explantation were performed.

Results:

Treatment with topical moxifloxacin and topical corticosteroids was kept for four weeks. Corneal inflammation and the anterior chamber reaction resolved, leaving a minimal residual leucoma.

Conclusions:

Infectious keratitis is an uncommon complication of intrastromal corneal ring segments and it may be late in presentation, even months after implantation. Importance of patient education about alarm symptoms and the need for long-term close postoperative follow-up cannot be underestimated.

Financial Disclosure:

NONE