Abstract
Limbal relaxing incisions (LRIs) are considered a relatively safe procedure with rapid stabilization and absence of infectious complications. Do we need to readdress this last impression? We report a case of nocardia endophthalmitis associated with an exudate at the site of an LRI in a patient who underwent routine cataract surgery. This case, to the best of our knowledge, is the first report of its kind, stressing the need for a cautious approach to the adoption of this method of astigmatic correction.
MeSH terms
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Anti-Bacterial Agents / therapeutic use
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Cataract Extraction / adverse effects*
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Cataract Extraction / methods
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Diagnosis, Differential
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Endophthalmitis / diagnosis
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Endophthalmitis / etiology*
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Endophthalmitis / therapy
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Eye Infections, Bacterial / diagnosis
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Eye Infections, Bacterial / etiology*
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Eye Infections, Bacterial / therapy
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Follow-Up Studies
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Humans
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Limbus Corneae / surgery*
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Male
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Middle Aged
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Nocardia Infections / diagnosis
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Nocardia Infections / etiology*
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Nocardia Infections / therapy
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Nocardia asteroides / isolation & purification
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Surgical Wound Infection / diagnosis
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Surgical Wound Infection / etiology*
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Surgical Wound Infection / therapy
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Vitrectomy
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Vitreous Body / microbiology
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Vitreous Body / surgery