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Suppurative interstitial ring keratitis due to streptococcus.

T J Liesegang, J R Samples, R R Waller

    Annals of Ophthalmology
    |April 1, 1984
    PubMed
    Summary
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    Streptococcus can cause serious interstitial ring abscesses in the cornea, appearing after eye trauma, surgery, or with dry eye disease. These infections progress rapidly, often leading to poor outcomes.

    Area of Science:

    • Ophthalmology
    • Microbiology

    Background:

    • Interstitial ring abscesses of the cornea are severe infections.
    • Streptococcus is a common bacterial pathogen.

    Observation:

    • Three cases of Streptococcus-induced interstitial ring abscesses are presented.
    • Infections occurred post-trauma, post-cataract surgery, and with keratoconjunctivitis sicca.
    • An early, non-limbal interstitial ring in post-trauma cases suggests Streptococcus.

    Findings:

    • The ring abscess can rapidly progress to involve the entire cornea.
    • Intraocular extension of the infection was observed.
    • All three presented cases had unfavorable outcomes.

    Implications:

    • Early recognition of the interstitial ring sign is crucial for prompt Streptococcus treatment.

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  • Prompt intervention may be necessary to prevent severe complications and vision loss.
  • This highlights the importance of considering Streptococcus in specific corneal infection scenarios.