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Year : 2020  |  Volume : 68  |  Issue : 7  |  Page : 1463-1466

Kocuria kristinae interface keratitis following deep anterior lamellar keratoplasty

1 The Cornea and Institute, LV Prasad Eye Institute, Hyderabad, India
2 Jhaveri Microbiology Centre, LV Prasad Eye Institute, Hyderabad, India

Correspondence Address:
Dr. Bhupesh Bagga
LV Prasad Eye Institute, Road Number 2, Banjara Hills, Hyderabad, Telangana - 500 034
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1455_19

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A 21-year-old boy underwent deep anterior lamellar keratoplasty (DALK) for advanced keratoconus. Postoperatively, slit lamp examination revealed multiple foci of interface infiltrates. Medical therapy was non-responsive, and therefore, a repeat lamellar transplantation was done. Scrapings were taken from host stroma and under the surface of the initial graft. Microbiological examination, aided by VITEK-2, revealed the causative organism as Kocuria kristinae. The postoperative course was uneventful and at a 1-year follow-up, the graft was clear with no recurrence of infection. This case highlights the pathogenic potential of Kocuria species, which has previously been disregarded as a commensal or contaminant.

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