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Infectious crystalline keratopathy.

R W Zabel1, G Mintsioulis, I MacDonald

  • 1Department of Ophthalmology, Ottawa Civic Hospital, Ont.

Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|December 1, 1988
PubMed
Summary
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Infectious crystalline keratopathy, a bacterial eye infection, can cause crystalline deposits in the cornea. Early diagnosis and aggressive antibiotic treatment are crucial for resolution.

Area of Science:

  • Ophthalmology
  • Microbiology

Background:

  • Infectious crystalline keratopathy (ICK) is a rare corneal infection.
  • It is characterized by the development of crystalline deposits within the corneal stroma.

Observation:

  • A 60-year-old woman presented with crystalline deposits in the anterior corneal stroma.
  • The deposits were resistant to initial treatments and required aggressive intravenous and topical antibiotics.

Findings:

  • Review of cases suggests ICK is caused by chronic bacterial colonization, often by viridans group streptococci.
  • Risk factors include corneal trauma, topical corticosteroid use, intact epithelium, and soft contact lens wear.

Implications:

  • Prompt diagnosis via lamellar biopsy, including culture and sensitivity testing, is essential.

Related Experiment Videos

  • Aggressive, tailored antibiotic therapy is critical for successful treatment and visual recovery.