Corneal Collagen Cross-linking for Corneal Ulcer from Moraxella Group
- Authors
- Woo, Sang Earn; Lee, Si Hyung
- Issue Date
- Feb-2020
- Publisher
- 대한안과학회
- Keywords
- Cornea; Corneal collagen cross-linking; Moraxella
- Citation
- 대한안과학회지, v.61, no.2, pp 200 - 204
- Pages
- 5
- Journal Title
- 대한안과학회지
- Volume
- 61
- Number
- 2
- Start Page
- 200
- End Page
- 204
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/3136
- DOI
- 10.3341/jkos.2020.61.2.200
- ISSN
- 0378-6471
2092-9374
- 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 x 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.
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Collections - College of Medicine > Department of Ophthalmology > 1. Journal Articles
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