Infectious scleritis after retinal surgery.

Abstract:

PURPOSE:To report a series of patients in whom infectious scleritis developed after vitreoretinal surgery. DESIGN:Interventional case series of four patients. METHODS:Medical records of patients at a single institution in whom infectious scleritis developed after vitreoretinal surgery were reviewed. RESULTS:In three patients, infectious scleritis developed after 20-gauge pars plana vitrectomy, and in one patient, infectious scleritis developed after a scleral buckling procedure. Three cases were had positive culture results; the identified organisms were Pseudomonas aeruginosa in two cases and methicillin-resistant Staphylococcus aureus in one. The fourth patient did not have culture results but responded rapidly to empiric treatment with moxifloxacin. In one patient, surgically induced necrotizing scleritis subsequently developed. CONCLUSIONS:Although infectious scleritis is an uncommon complication after vitreoretinal surgery, it should be a considered cause in patients with persistent postoperative pain and inflammation.

journal_name

Am J Ophthalmol

authors

Rich RM,Smiddy WE,Davis JL

doi

10.1016/j.ajo.2007.11.024

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

695-9

issue

4

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(07)01008-2

journal_volume

145

pub_type

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