Indian Journal of Ophthalmology

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

Shewanella algae keratitis


Chelsey A Bravenec1, Rahul T Pandit2, Hilary A Beaver2 
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

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.


How to cite this article:
Bravenec CA, Pandit RT, Beaver HA. Shewanella algae keratitis.Indian J Ophthalmol 2019;67:148-150


How to cite this URL:
Bravenec CA, Pandit RT, Beaver HA. Shewanella algae keratitis. Indian J Ophthalmol [serial online] 2019 [cited 2024 Mar 29 ];67:148-150
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2019;volume=67;issue=1;spage=148;epage=150;aulast=Bravenec;type=0