J Korean Ophthalmol Soc > Volume 54(4); 2013 > Article
Journal of the Korean Ophthalmological Society 2013;54(4):655-658.
DOI: https://doi.org/10.3341/jkos.2013.54.4.655    Published online April 30, 2013.
A Case of Pseudomonas fluorescens Infection after Dacryocystorhinostomy and Silicone Tube Intubation.
Jeong Yeop Kang, Jae Ho Yoo, Jung Ju Lee, Soo Young Kim, Seung Uk Lee, Sang Joon Lee
1Department of Ophthalmology, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea. hhiatus@gmail.com
2Balgeun Nun Eye Clinic, Busan, Korea.
눈물주머니코안연결술 및 실리콘관삽입술 후 발생한 형광균 감염 1예
강정엽1⋅유재호1⋅이정주2⋅김수영1⋅이승욱1⋅이상준1
Department of Ophthalmology, Kosin University Gospel Hospital, Kosin University College of Medicine1, Busan, Korea
Balgeun Nun Eye Clinic2, Busan, Korea
Abstract
PURPOSE
To report a case of Pseudomonas fluorescens infection following endoscopic dacryocystorhinostomy and silicone tube intubation in a healthy patient who was using steroid nasal spray. In addition, a literature review is conducted. CASE SUMMARY: A 72-year-old female patient came to our clinic with tearing and hyperemia in the right eye. Ten months prior, she had undergone endoscopic dacryocystorhinostomy and silicone tube intubation due to nasolacrimal duct obstruction in the right eye. Six months after the first operation, dacryocystorhinostomy revision with silicone tube exchange was performed due to obstruction of the nasal bony orifice. In addition, the patient was using a steroid nasal spray. On slit lamp examination, conjunctival injection, marked inflammation and punctal edema around the tube were observed. The silicone tube was removed and the tube cultured. Pseudomonas fluorescens was isolated from the tube contents. The patients was treated with topical 0.3% gatifloxacin 4 times a day, methylol cephalexin lysinate 1000 mg 3 times a day and the nasal spray was discontinued. Two weeks later, all symptoms were resolved after treatment with antibiotic treatment. CONCLUSIONS: A case of Pseudomonas fluorescens canaliculitis which occurred in healthy patient who was using steroid nasal spray is presented with a literature review. Pseudomonas fluorescens canaliculitis can be treated by using proper antibiotics.
Key Words: Canaliculitis;Dacryocystorhinostomy;Nasolacrimal obstruction;Pseudomonas fluorescens;Silicone tube


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