Streptococcus Pneumoniae keratitis after penetrating keratoplasty patientsTaha Ayyıldız1, Ümit Çallı2
1Department of Ophthalmology, Oltu Public Hospital, Erzurum, Turkey
2Department of Ophthalmology, Umraniye Training and Research Hospital, İstanbul, Turkey
Objective: To determine the clinical course Streptococcus pneomoniae keratitis following penetrating keratoplasty.Keywords: Streptococcus pneumoniae, Keratitis, Penetrating keratoplasty
Material and Methods: A retrospective analysis was done of hospital records of all patients who presented with culture proven Streptococcus pneomoniae keratitis in the corneal graft between January 2011 and January 2016.
Results: 8 eyes of 8 patients were included in the study. 5 patients were male and 3 were female. The mean age of the patients was 61 ± 9 years (range: 5277 years). The median time interval between surgery and infection was 11 months (range: 3 months to 25 months). Five eyes (% 62.5) went graft failure after average 6 weeks of treatment, 3 eyes were complete remission with a mild corneal scarring. 2 eyes with emergency tectonic penetrating keratoplasty, disease relapse in graft and re-penetrating keratoplasty was performed.
Conclusion: Streptococcus pneumoniae keratitis after penetrating keratoplasty is a disease that results in extremely destructive. The clinical and microbiological diagnosis of the disease must be an urgent, appropriate treatment should be initiated without delay.
Corresponding Author: Taha Ayyıldız, Türkiye