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A Laser-induced Mouse Model of Chronic Ocular Hypertension to Characterize Visual Defects
Published on: August 14, 2013
Chronic ocular hypertension after treated multifocal bacterial keratitis
Theodoros Athanassios Papadopoulos1, Georgia Vrouva, Maria Bafa
1Department of Ophthalmology, 'Thriassion' General Hospital of Eleusis, Athens, Greece.
Case Reports in Ophthalmology
|March 26, 2013
Summary
This case report highlights that multifocal bacterial keratitis, even when successfully treated, can lead to chronic ocular hypertension. Continued monitoring of intraocular pressure is crucial post-infection for patients with bacterial keratitis.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Multifocal keratitis presents a diagnostic challenge, requiring differentiation between bacterial and fungal etiologies.
- Early and accurate diagnosis is essential for effective treatment of microbial keratitis.
Observation:
- A 67-year-old woman presented with unilateral multifocal bacterial keratitis caused by Staphylococcus epidermidis.
- Cultures revealed strains resistant to ciprofloxacin but sensitive to vancomycin.
Findings:
- Intensive fortified antibiotic therapy with vancomycin and tobramycin resolved the bacterial keratitis.
- Despite complete infection healing and cessation of inflammation, the patient developed late-onset, persistent ocular hypertension.
Implications:
- This case underscores the importance of considering bacterial causes in multifocal keratitis.
- Ocular hypertension may be a delayed complication of bacterial keratitis, necessitating long-term intraocular pressure monitoring.
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