| A Case of Pseudomonas aeruginosa Infection after Scleral Buckling for Retinal Detachment. |
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Il Hwan Shin, Sung Bok Lee, Jung Yeul Kim, Young Joon Jo |
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Department of Ophthalmology, Chungnam National University School of Medicine, Daejeon, Korea. youngjoon@cnu.ac.kr |
| 열공망막박리에 대한 공막돌륭술 후 발생한 녹농균 감염 1예 |
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신일환⋅이성복⋅김정열⋅조영준 |
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충남대학교 의학전문대학원 안과학교실 |
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Received: 13 March 2015 • Revised: 27 May 2015 • Accepted: 31 July 2015 |
| Abstract |
PURPOSE
To report a case of Pseudomonas aeruginosa infection after scleral buckling for retinal detachment. CASE SUMMARY: A 68-year-old male presented with a 2-day history of pain in the right eye. The patient had a history of scleral buckling for retinal detachment 10 years earlier and excisional biopsy for conjunctival mass 1 month previously. Biopsy revealed chronic inflammation and granulation tissue formation. Slit-lamp examinations revealed superior conjunctival injection, edema and exposed suture knot. Fundus examination revealed exudative retinal detachment and choroidal detachment. The conjunctival lesion did not improve although the patient was treated with moxifloxacin. After 4 days, bacterial and fungal cultures were performed because the conjunctiva presented with purulent discharge 4 days after treatment. The scleral buckle and suture knot were removed. The cultures revealed growth of Pseudomonas aeruginosa. According to antibiotic sensitivity test results, the authors treated the patient with ceftazidime. The conjunctival lesion, choroidal detachment and exudative retinal detachment were improved. CONCLUSIONS: In patients with conjunctival injection, edema, purulent discharge and ocular pain after scleral buckling, presence of infection should be suspected. If scleral buckle infection is suspected, bacterial culture, antibiotics treatment and scleral buckle removal should be considered. |
| Key Words:
Infection;Pseudomonas aeruginosa;Retinal detachment;Scleral buckle |
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