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Case Reports
. 2021 Apr 12;12(1):214-218.
doi: 10.1159/000512473. eCollection 2021 Jan-Apr.

Recalcitrant Pseudomonas Aeruginosa Keratitis with Hyphaema

Amy Chan  1 , Hnin Hnin Oo  1 , Philip Stanley  1 , Benjamin Chang  1
Affiliations
Case Reports

Recalcitrant Pseudomonas Aeruginosa Keratitis with Hyphaema

Amy Chan et al. Case Rep Ophthalmol. .

Abstract

Purpose: To report a case of recalcitrant pseudomonas keratitis with a rare presentation of hyphaema.

Observation: A 45-year-old female was noted to have contact lens-related pseudomonas keratitis with hyphaema. The organism was refractory to multiple antibiotics and only responded to Tazocin eye drops.

Conclusion and importance: Hyphaema is a rare presentation in bacterial keratitis and could represent infection with an especially virulent organism. Use of Aspirin could precipitate hyphaema in infective keratitis. Alternative antibiotic choices such as Tazocin, colistin, meropenem, and imipenem can be considered when standard therapy is ineffective for multidrug-resistant Pseudomonas keratitis.

Keywords: Hyphaema; Ophthalmic solutions; Pseudomonas keratitis.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Anterior segment photograph of her right eye at presentation.
See this image and copyright information in PMC

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