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BRIEF COMMUNICATION
Year : 2015  |  Volume : 63  |  Issue : 4  |  Page : 344-346

A case of acute postoperative keratitis after deep anterior lamellar keratoplasty by multidrug resistant Klebsiella


1 Department of Cornea, Tilganga Institute of Ophthalmology, Kathmandu, Nepal
2 Nepal Eye Hospital, Kathmandu, Nepal

Correspondence Address:
Dr. Leena Bajracharya
Tilganga Institute of Ophthalmology, Gaushala, Bagmati Bridge, Kathmandu
Nepal
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.158088

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A healthy lady of 42 years underwent deep anterior lamellar keratoplasty for granular dystrophy. The very next day, it was complicated by development of infectious keratitis. The organism was identified as multidrug resistant Klebsiella pneumoniae. Donor corneal button may be implicated in the transmission of infection in an otherwise uneventful surgery and follow-up. Nosocomial infections are usually severe, rapidly progressive and difficult to treat. Finally, the lady had to undergo therapeutic penetrating keratoplasty for complete resolution of infection.


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