186
Views
2
CrossRef citations to date
0
Altmetric
Letters to the Editor

Presumed Microbial Keratitis Cases Resulting in Evisceration and Enucleation in Sydney, Australia

, MBBS, MIPH, PhDORCID Icon, , BSc (Honours)ORCID Icon & , PhD, FRANZCOORCID Icon
Pages 224-230 | Received 29 Jan 2021, Accepted 18 Oct 2021, Published online: 01 Dec 2021
 

ABSTRACT

Purpose

Describe presumed microbial keratitis cases resulting in evisceration/enucleation from 2012 to 2016 in Sydney, Australia

Methods

A retrospective case review included 33 patients. Cases were identified from pathology and hospital coding data. Sociodemographic and clinical details were collated.

Results

Mean age was 79 years (range: 38–100 years), and 64% female. There were 30 eviscerations and 3 enucleations, at a median time of 8 days (range: 1–270 days) due to endophthalmitis (n = 15, 45%). Major ocular associated factors included topical corticosteroid use in 12 patients (36%), exposure keratopathy in 4 (12%), ectropion in 3 (9%), degenerative corneal disease in 3 (9%), and corneal graft in 2 (6%). Pseudomonas aeruginosa was the most common isolate with no reports of antimicrobial resistance.

Conclusions

Educating elderly patients with a history of topical corticosteroid use, corneal or ocular surface disease about prompt hospital presentation and treatment of microbial keratitis may decrease the probability of losing the eye.

Acknowledgments

The authors acknowledge the clinicians from the corneal unit at the Sydney Eye Hospital who treated the patients diagnosed with microbial keratitis in this study.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

Professor Stephanie Watson is supported by the Sydney Medical School Foundation. This study was funded by the Sydney Eye Hospital Foundation.

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 65.00 Add to cart

Issue Purchase

  • 30 days online access to complete issue
  • Article PDFs can be downloaded
  • Article PDFs can be printed
USD 815.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.