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Int Ophthalmol. 2015 Feb;35(1):135-40. doi: 10.1007/s10792-014-0032-8. Epub 2014 Dec 30.

Challenges in the management of Neisseria gonorrhoeae keratitis.

Author information

1
Department of Ophthalmology, Waterford Regional Hospital, Waterford, Co. Waterford, Ireland. mcelneaelizabeth@gmail.com.
2
Department of Microbiology, Waterford Regional Hospital, Waterford, Co. Waterford, Ireland.
3
Department of Ophthalmology, Waterford Regional Hospital, Waterford, Co. Waterford, Ireland.

Abstract

We describe the presentation and subsequent management of a case of keratitis caused by Neisseria gonorrhoeae. A thirty-nine year old gentleman presented with a purulent ocular discharge. Corneal melt with corneal perforation occurred. Neisseria gonorrhoeae was cultured. Systemic and topical antibiotics were given. Deep lamellar keratoplasty was performed for corneal perforation. At three months post treatment no recurrence of infection was noted. The possibility of Neisseria gonorrhoeaea keratitis should always be considered in patients with a purulent ocular discharge even if the case history is not immediately suggestive of the same. Severe gonococcal keratitis may be unilateral. Deep lamellar keratoplasty can be considered as a therapeutic option in patients with severe gonococcal keratitis.

KEYWORDS:

Keratitis; Keratoconjunctivitis; Lamellar keratoplasty; Neisseria gonorrhoeae; Purulent discharge

PMID:
25544662
DOI:
10.1007/s10792-014-0032-8
[Indexed for MEDLINE]

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