Bacterial keratitis after primary pediatric penetrating keratoplasty

Michael D Wagoner; Ali H Al-Ghamdi; Ali A Al-Rajhi

doi:10.1016/j.ajo.2006.12.035

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Bacterial keratitis after primary pediatric penetrating keratoplasty

Journal article

Peer reviewed

Bacterial keratitis after primary pediatric penetrating keratoplasty

Michael D Wagoner, Ali H Al-Ghamdi and Ali A Al-Rajhi

American journal of ophthalmology, Vol.143(6), pp.1045-1047

06/2007

DOI: 10.1016/j.ajo.2006.12.035

PMID: 17524776

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Abstract

To determine the prevalence, microbiological profile, and prognosis for bacterial keratitis after primary pediatric penetrating keratoplasty (PKP). Retrospective case series. Retrospective review of all cases of primary PKP performed in children 12 years of age or younger at the King Khaled Eye Specialist Hospital between January 1, 1990 and December 31, 2005 and inclusion of all postoperative cases of culture-positive, bacterial keratitis. Culture-positive bacterial keratitis developed in 35 (17.3%) of 202 primary keratoplasties. Gram-positive organisms were cultured in 91.4% of infected eyes and accounted for 77.6% of isolates. Streptococcus pneumoniae was the most common organism. No eyes achieved a final visual acuity of 20/40 or better, while 65.7% had hand motions or worse. Bacterial keratitis after pediatric keratoplasty is a serious complication that is associated with a high risk of graft failure and poor visual outcome.

Cornea - microbiology

Prevalence

Prognosis

Humans

Risk Factors

Corneal Ulcer - diagnosis

Child, Preschool

Graft Survival

Infant

Eye Infections, Bacterial - diagnosis

Eye Infections, Bacterial - drug therapy

Visual Acuity

Corneal Ulcer - drug therapy

Eye Infections, Bacterial - etiology

Anti-Bacterial Agents - therapeutic use

Bacteria - isolation & purification

Time Factors

Keratoplasty, Penetrating

Corneal Ulcer - microbiology

Retrospective Studies

Child

Postoperative Complications

Details

Title: Subtitle: Bacterial keratitis after primary pediatric penetrating keratoplasty
Creators: Michael D Wagoner - Department of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. mwagoner@kkesh.med.sa
Ali H Al-Ghamdi
Ali A Al-Rajhi
Resource Type: Journal article
Publication Details: American journal of ophthalmology, Vol.143(6), pp.1045-1047
Publisher: United States
DOI: 10.1016/j.ajo.2006.12.035
PMID: 17524776
ISSN: 0002-9394
eISSN: 1879-1891
Language: English
Date published: 06/2007
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9983979916002771

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