Open AccessA case of acute postoperative keratitis after deep anterior lamellar keratoplasty by multidrug resistant Klebsiella
Author(s) -
Leena Bajracharya,
Binita Sharma,
Reeta Gurung
Publication year - 2015
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.158088
Subject(s) - medicine , klebsiella pneumoniae , keratitis , multiple drug resistance , ophthalmology , surgery , antibiotics , microbiology and biotechnology , biochemistry , chemistry , escherichia coli , biology , gene
A healthy lady of 42 years underwent deep anterior lamellar keratoplasty for granular dystrophy. The very next day, it was complicated by development of infectious keratitis. The organism was identified as multidrug resistant Klebsiella pneumoniae. Donor corneal button may be implicated in the transmission of infection in an otherwise uneventful surgery and follow-up. Nosocomial infections are usually severe, rapidly progressive and difficult to treat. Finally, the lady had to undergo therapeutic penetrating keratoplasty for complete resolution of infection.