Suture-related corneal abscess caused by enterococcus casseliflavus following complicated phacoemulsification surgery
- Author:
Patricia Kaye T. Sy
1
;
Karlo Marco D. Claudio
1
Author Information
- Publication Type:Case Reports
- Keywords: Suture abscess; Gunderson flap; Intrastromal antibiotics; Enterococcus casseliflavus
- MeSH: Phacoemulsification
- From: Philippine Journal of Ophthalmology 2024;49(1):61-65
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To report a case of a suture-related corneal abscess caused by Enterococcus casseliflavus on a phacoemulsification corneal incision.
Method:This is a case report.
Results:An elderly female underwent complicated phacoemulsification surgery on the left eye requiring sutures to seal the corneal incisions. Suture removal was incomplete at the side port, and a suture abscess developed after 9 weeks. Cultures revealed heavy growth of Enterococcus casseliflavus which was initially treated with an empiric broad-spectrum antibiotic (levofloxacin 1.5%) administered via intrastromal and subconjunctival injections, followed by culture-guided topical and oral medications. The corneal infection resolved but significant corneal thinning led to perforation, requiring a modified Gunderson flap procedure to repair the defect.
Conclusion:Intrastromal and subconjuctival injection of levofloxacin 1.5% may be a viable empiric treatment option for Enterococcus casseliflavus suture-related corneal abscess. - Full text:2024062710390803181pjo 11.pdf
