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Infectious Pseudomonas scleritis after strabismus surgery.
Daniel L Chao1, Thomas A Albini, Craig A McKeown
1Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Florida, USA.
Summary
Pseudomonas infectious scleritis, a rare complication after strabismus surgery, can cause severe eye inflammation. This case in an immunocompromised patient responded well to antibiotic treatment.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Surgical Complications
Background:
- Scleral inflammation and necrosis are infrequent but severe complications following ocular surgery.
- Infectious scleritis, particularly post-operative, requires prompt diagnosis and management.
Observation:
- A 62-year-old immunocompromised male developed Pseudomonas infectious scleritis after strabismus surgery.
- The patient presented with an exuberant, presumed sterile endophthalmitis alongside the scleritis.
Findings:
- The infectious scleritis and associated endophthalmitis were successfully treated with topical and oral antibiotics.
- Cultures confirmed Pseudomonas as the causative agent of the scleritis.
Implications:
- This case highlights the importance of considering infectious causes in post-operative scleral inflammation, even in immunocompromised individuals.
- Early and appropriate antibiotic therapy can lead to favorable outcomes in severe cases of infectious scleritis and endophthalmitis.
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