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Role of intrastromal vancomycin in recalcitrant corneal abscess after phacoemulsification
  1. Mohit Chhabra,
  2. Ruchi Goel,
  3. Samreen Khanam and
  4. Sonam Singh
  1. Ophthalmology, Maulana Azad Medical College, New Delhi, Delhi, India
  1. Correspondence to Professor Ruchi Goel; gruchi1{at}rediffmail.com

Abstract

Side port infection and corneal abscess after cataract surgery can produce devastating outcomes. Topical antibacterial drugs are the mainstay in management of these cases. Although intrastromal antifungal agents are an established modality for fungal keratitis, such use of antibacterial agents is rarely reported due to better pharmacokinetic profile of antibacterial agents.

We report a case of methicillin-resistant Staphylococcus aureus corneal abscess following phacoemulsification that responded to intrastromal vancomycin injection in addition to conventional therapy.

This case of postphacoemulsification corneal abscess highlights the importance of postoperative hygiene practices, use of anterior segment optical coherence tomography for monitoring these patients and use of intrastromal vancomycin as an adjunct to topical and systemic therapy.

  • corneal abscess
  • phacoemulsification
  • intrastromal
  • vancomycin

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Footnotes

  • Contributors RG, MC, SK and SS: involved in patient care. MC, RG and SK: drafted and finalised the case report. MC and SS: acquired and finalised the images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.