Abstract
Six elderly patients are described (age range 76-86 years) in whom a characteristic peripheral suppurative keratitis developed 1-36 months after uncomplicated cataract surgery. A corneal section had been used in all patients and four or five interrupted nylon sutures were present at the time of onset. Streptococcus pneumoniae was cultured from a corneal scrape in all cases. Treatment with appropriate antibiotics resulted in slow resolution though supplementary topical steroids were necessary in five of the six patients, and corneal opacification persists in all cases.
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- Acheson J. F., Lyons C. J. Ocular morbidity due to monofilament nylon corneal sutures. Eye (Lond) 1991;5(Pt 1):106–112. doi: 10.1038/eye.1991.20. [DOI] [PubMed] [Google Scholar]
- Confino J., Brown S. I. Bacterial endophthalmitis associated with exposed monofilament sutures following corneal transplantation. Am J Ophthalmol. 1985 Feb 15;99(2):111–113. doi: 10.1016/0002-9394(85)90217-x. [DOI] [PubMed] [Google Scholar]
- Gelender H. Bacterial endophthalmitis following cutting of sutures after cataract surgery. Am J Ophthalmol. 1982 Oct;94(4):528–533. doi: 10.1016/0002-9394(82)90249-5. [DOI] [PubMed] [Google Scholar]
- Jackson H., Bosanquet R. Should nylon corneal sutures be routinely removed? Br J Ophthalmol. 1991 Nov;75(11):663–664. doi: 10.1136/bjo.75.11.663. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moriarty A. P., Crawford G. J., McAllister I. L., Constable I. J. Bilateral streptococcal corneoscleritis complicating beta irradiation induced scleral necrosis. Br J Ophthalmol. 1993 Apr;77(4):251–252. doi: 10.1136/bjo.77.4.251. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nirankari V. S., Karesh J. W., Richards R. D. Complications of exposed monofilament sutures. Am J Ophthalmol. 1983 Apr;95(4):515–519. doi: 10.1016/0002-9394(83)90274-x. [DOI] [PubMed] [Google Scholar]