ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
 
             
 
Volume : 24 Issue : 4 Year : 2016
 
Streptococcus Pneumoniae keratitis after penetrating keratoplasty patients [Med J Islamic World Acad Sci]
Med J Islamic World Acad Sci. Ahead of Print: IAS-65148 | DOI: 10.5505/ias.2017.65148  

Streptococcus Pneumoniae keratitis after penetrating keratoplasty patients

Taha 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.
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: 52–77 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.

Keywords: Streptococcus pneumoniae, Keratitis, Penetrating keratoplasty




Corresponding Author: Taha Ayyıldız, Türkiye


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