Vol 6 (2021): Continuous Publishing
Case report
Published online: 2021-07-15

open access

Page views 6024
Article views/downloads 398
Get Citation

Connect on Social Media

Connect on Social Media

An improved vision after treatment of endophthalmitis following keratoprosthesis — a report of two cases

Farheen Fatima1, Amna Anwar2, Farah Naz3, Azam Ali1
Ophthalmol J 2021;6:61-64.

Abstract

Endophthalmitis following keratoprosthesis could lead to permanent loss of vision and the eye. It needs systematic
management and close follow-ups as the outcome is unpredictable.

We present two cases of endophthalmitis following type I Boston keratoprosthesis (KPro). Both of our patients had
lost one eye while the other eye developed endophthalmitis after they underwent prosthokeratoplasty. They were
aggressively treated with topical and oral antibiotics with close follow-ups. Vitreous cultures were obtained, and
intravitreal antibiotics were given. The endophthalmitis resolved with a dramatically improved vision.

Article available in PDF format

View PDF Download PDF file

References

  1. Pineda R. The Boston keratoprosthesis in Stevens-Johnson syndrome. Evidence-Based Ophthalmol. 2008; 9(3): 166–167.
  2. Ciralsky J, Papaliodis GN, Foster S, et al. Keratoprosthesis in autoimmune disease. Ocul Immunol Inflamm. 2010; 18(4): 275–280.
  3. Tuft SJ, Shortt AJ. Surgical rehabilitation following severe ocular burns. Eye (Lond). 2009; 23(10): 1966–1971.
  4. Harissi-Dagher M, Dohlman CH. The Boston Keratoprosthesis in severe ocular trauma. Can J Ophthalmol. 2008; 43(2): 165–169.
  5. Chew HF, Ayres BD, Hammersmith KM, et al. Boston keratoprosthesis outcomes and complications. Cornea. 2009; 28(9): 989–996.
  6. Bradley J, Hernandez E, Schwab I, et al. Boston Type 1 Keratoprosthesis: The University of California Davis Experience. Cornea. 2009; 28(3): 321–327.
  7. Aldave A, Kamal K, Vo R, et al. The Boston Type I Keratoprosthesis. Ophthalmology. 2009; 116(4): 640–651.
  8. Akpek EK, Harissi-Dagher M, Petrarca R, et al. Outcomes of Boston keratoprosthesis in aniridia: a retrospective multicenter study. Am J Ophthalmol. 2007; 144(2): 227–231.
  9. Durand ML, Dohlman CH. Successful prevention of bacterial endophthalmitis in eyes with the Boston keratoprosthesis. Cornea. 2009; 28(8): 896–901.
  10. Georgalas I, Kanelopoulos AJ, Petrou P, et al. Presumed endophthalmitis following Boston keratoprosthesis treated with 25 gauge vitrectomy: a report of three cases. Graefes Arch Clin Exp Ophthalmol. 2010 ; 248(3): 447–450.