|
KMID : 0360220070480070889
|
|
Journal of the Korean Ophthalmological Society
2007 Volume.48 No. 7 p.889 ~ p.897
|
|
|
Clinical Aspect and Prognosis of Stenotrophomonas (Xanthomonas) Maltophilia Keratitis
|
|
You In-Cheon
Lee Seung-Hyun
Park Yeoung-Geol
Yoon Kyung-Chul
|
|
|
Abstract
|
|
|
Purpose: To investigate the risk factor, clinical manifestations, treatment results, and prognoses in Stenotrophomonas maltophilia keratitis.
Methods: Ten eyes of 10 patients who were diagnosed with, Stenotrophomonas maltophilia by corneal smear
and culture were included in this study. Each patient’s past history, visual acuity, location and size of ulceration, hypopyon, treatment results and prognosis were analyzed retrospectively.
Results: Seven pateints (70.0%) were men, and 3 were women. The mean age was 62.9±11.3 years. Only 2 eyes (20.0%) had previous histories of corneal traumas. Polymicrobial infections, including 3 cases infected with Pseudomonas species and 2 cases infected with Fusarium species, were detected in 7 eyes (70.0%). The lesions were located at the corneal center in 6 eyes, and hypopyon was observed in 9 eyes. The average size of ulceration was 28.5±19.6 mm2. Seven eyes (70.0%) underwent surgical treatment. The initial visual acuity was less than 0.02 in 9 eyes (90.0%). The final visual acuity improved in 3 eyes (30.0%) and was less than hand movement in 7 eyes (70.0%).
Conclusions: Stenotrophomonas maltophilia keratitis occurs in patients with a compromised ocular surface, is often polymicrobial, and is associated with poor prognoses.
|
|
|
KEYWORD
|
|
|
Stenotrophomonas maltophilia keratitis, Polymicrobial, Prognosis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|