| Corneal Collagen Cross-linking for Corneal Ulcer from Moraxella Group. |
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Sang Earn Woo, Si Hyung Lee |
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Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. sieh12@schmc.ac.kr |
| 모락셀라그룹균에 의한 각막궤양에서의 각막 콜라겐 교차결합술 |
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우상언 · 이시형 |
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순천향대학교 의과대학 부천병원 안과학교실 |
Correspondence:
Si Hyung Lee,
Email: sieh12@schmc.ac.kr
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Received: 2 August 2019 • Revised: 30 September 2019 • Accepted: 22 January 2020 |
| Abstract |
PURPOSE
To report a case of corneal collagen cross-linking for corneal ulcer caused by the Moraxella group. CASE SUMMARY: A 77-year-old male had decreased visual acuity for several days in his right eye. The patient showed severe stromal ring infiltrates with a corneal epithelial defect measuring (5.0 × 7.0 mm), a corneal endothelial plaque, and a hypopyon measuring less than 1.0 mm in height in the anterior chamber of the right eye. There was no abnormal finding in the right eye using B-scan ultrasonography. Before starting treatment, a corneal culture was conducted. The culture tests showed the presence of the Moraxella group. Because the patient was diagnosed with a corneal ulcer caused by the Moraxella group, corneal collagen cross-linking (CXL) was performed. The antimicrobial susceptibility test confirmed that this Moraxella group was sensitive to ceftazidime, so the patient was treated with 5% ceftazidime eye drops and 0.5% moxifloxacin eye drops every 2 hours for 9 months after corneal collagen CXL. The uncorrected visual acuity was 0.1 in the right eye, and there was almost no corneal stromal melting on anterior segment optical coherence tomography. CONCLUSIONS: This is the first known case of a corneal ulcer, in the Republic of Korea, caused by the Moraxella group and treated with corneal collagen CXL. Corneal collagen CXL should be considered as a surgical treatment for patients who have an impending corneal perforation due to a corneal ulcer because it is a simple procedure and causes fewer serious complications than other treatments. |
| Key Words:
Cornea;Corneal collagen cross-linking;Moraxella |
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