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Bilateral Pseudomonas keratitis without predisposing factors.

Pragya Parmar1, Amjad Salman, C M Kalavathy

  • 1Department of Ophthalmology, Institute of Ophthalmology, Joseph Eye Hospital, Tiruchirapalli-620 001, India.

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Summary
This summary is machine-generated.

Bilateral keratitis, an eye inflammation, can occur without typical risk factors like contact lens wear. This case highlights Pseudomonas aeruginosa as a cause in an otherwise healthy individual.

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Area of Science:

  • Ophthalmology
  • Microbiology

Background:

  • Bilateral keratitis typically affects individuals with predisposing factors, including contact lens wearers, malnutrition, immunodeficiency, or prior corneal surgery.
  • Pseudomonas aeruginosa is a common opportunistic pathogen capable of causing severe ocular infections.

Observation:

  • A 30-year-old male presented with bilateral decreased vision and ocular pain.
  • No apparent predisposing factors for keratitis were identified in the patient.

Findings:

  • Corneal ulcers were diagnosed in both eyes.
  • Microbiological cultures confirmed Pseudomonas aeruginosa infection in both corneas.
  • The patient received a therapeutic keratoplasty in the right eye and medical management in the left eye.

Implications:

  • This case demonstrates that bilateral Pseudomonas keratitis can arise in individuals without identifiable risk factors.
  • Highlights the importance of considering aggressive pathogens in unexplained keratitis, even in healthy patients.
  • Underscores the need for prompt diagnosis and appropriate management of severe microbial keratitis.