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Infectious crystalline keratopathy

B Horsburgh1, L W Hirst, G A Hoole

  • 1Department of Surgery, Princess Alexandra Hospital, Woolloongabba, Queensland.

Australian and New Zealand Journal of Ophthalmology
|February 1, 1994
PubMed
Summary
This summary is machine-generated.

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Crystalline keratopathy cases linked to alpha-hemolytic Streptococcus showed varied treatment responses. While one patient resolved with antibiotics, another required corneal transplant and prolonged antibiotic therapy due to recurrence.

Area of Science:

  • Ophthalmology
  • Microbiology

Background:

  • Crystalline keratopathy is an uncommon corneal dystrophy.
  • Bacterial infections can cause secondary corneal opacities.

Observation:

  • Two patients presented with crystalline keratopathy.
  • Both cases exhibited alpha-hemolytic Streptococcus growth.
  • Clinical features resembled previously reported cases.

Findings:

  • One patient achieved resolution with topical and systemic antibiotics.
  • The second patient experienced recurrence post-corneal transplantation.
  • Recurrence necessitated extended antibiotic treatment and a repeat transplant.

Implications:

  • Alpha-hemolytic Streptococcus may be implicated in crystalline keratopathy.

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  • Treatment outcomes for this condition can be variable.
  • Recalcitrant cases may require aggressive management, including surgical intervention and long-term antibiotics.