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CASE REPORT
Year : 2019  |  Volume : 67  |  Issue : 1  |  Page : 148-150

Shewanella algae keratitis


1 Department of Ophthalmology, The University of Texas Medical Branch College of Medicine, Galveston, TX, USA
2 Department of Ophthalmology, The University of Texas Medical Branch College of Medicine, Galveston; Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston; Department of Ophthalmology, Houston Methodist Eye Associates, Houston Methodist Hospital, Houston, TX; Department of Ophthalmology, Weill Cornell Medicine, New York, NY, USA

Correspondence Address:
Dr. Rahul T Pandit
Houston Methodist Eye Associates, 6560 Fannin, Suite 450, Houston, Tx 77030
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_617_18

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A 75-year-old male with a right eye history of chronic dry eye syndrome, glaucoma status post tube shunt, and Fuchs dystrophy status post Descemet stripping endothelial keratoplasty followed by penetrating keratoplasty (PKP) presented with a 2.7 × 4.2 mm corneal ulcer, culture positive for Shewanella algae and Klebsiella oxytoca. A topical antibiotic regimen of gentamicin 14 mg/mL and vancomycin 50 mg/mL was administered according to culture sensitivities. There was concurrent use of loteprednol 0.5% (Lotemax Gel, Bausch and Lomb, Rochester, NY, USA) and later addition of erythromycin 0.5% ointment. The corneal ulcer improved with antibiotic therapy but was complicated by poor patient follow-up. Descemetocele formation prompted PKP in the right eye. The graft was successful and visual acuity improved from a low of light perception to maximum of 20/200 Snellen.


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