Úlcera de córnea por Serratia marcescens após ceratoplastia penetrante

Úlcera de córnea por Serratia marcescens após ceratoplastia penetrante

Autores:

Rosa Maria Reschini,
Newton Kara José,
Carlos E. Leite Arieta

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.54 no.6 São Paulo nov./dez. 1991

http://dx.doi.org/10.5935/0004-2749.19910005

SUMMARY

Two cases of Serratia marcescens keratitis after corneal transplantation are related. The two patients received cornea from the same donor, preserved in Dexsol medium for 24 hours and had been operated in different hospitals by different surgeons.

A repeat corneal transplantation was performed in both patients. Recurrent Serratia keratitis occured in one of the cases and a conjunctival flap was performed. The other patient developed total opacity and vascularization of the second graft.

The bad prognosis in cases of Serratia marcescens keratitis and the possibility of donor cornea as source of infection are discussed.

REFERÊNCIAS

1 BAER, J.C.; NIRANKW, V.S.; GLAROS, D.S. - Streptococcal endophthalmitis from contamined donor corneas after keratoplasty. Arch. Ophthalmol. 106: 517-520, 1988.
2 BECHARA, S.J.; CASTANHEIRA, V.R.C.; BONATTI, J.A.; KARA JOSÉ, N.; MYUNG, J.R; NEMER, R.S. - Incidência e profilaxia de endoftalmites em transplantes de córnea. Rev. Bras. Oftalmol. 46: 23-27, 1987.
3 BRINSER, J.H. - Ocular bacteriology. In: TABBARA, K.F. & HYNDIUK, R.A. - Infections of the eye. Boston, Little-Brown, 1986. p. 135.
4 CHITIUM, M.E.; GUTZMARKER, R.D.; OILAND, D.M.; KALINA, E. - Contamination of corneal tissue from infected donors. Arch. Ophthalmol. 103: 802-804, 1985.
5 CHRISTENSON, J.; KASTIL, P.R.; CALDWELL, D.R. - Bacterial contamination of donor corneas stored in McCarey-Kaufman medium. Ophthalmic Surg. 13: 231-233, 1982.
6 FONG, L.P.; OMEROD, L.D.; KENION, K.R; FOSTER, C.J. - Microbial keratitis complicating penetrating keratoplasty. Ophthalmology, 95: 1269-1275, 1988.
7 GANDHI, S.S.; LAMBERTS, D.W.; PERRY, H. - Donor to host transmition of disease via corneal transplantation. Surv. Ophthalmol. 25: 306-311, 1981.
8 GUSS, R.B.; KOENIG, S.; PENA, W.; MARX, M.; KAUFMAN, H.E. - Endophthalmitis after penetrating keratoplasty. Am. J. Ophthalmol. 95: 651-658, 1983.
9 HYNDIUK, R.A.; SKORICH, D.N.; BURDIE. E.M. - Bacteria keratitis. In: TABBARA, K.F. & HYNDIUK, R.A. - Infections of the eye. Boston, Little-Brown, 1986, p.323.
10 INSLER, M.S.; CAVANAGH. H.D.; WILSON, L.A. - Gentamicin resistant Pseudomonas endophthalmitis after penetrating keratoplasty. Br. J. Ophthalmol. 69: 189-191, 1985.
11 INSLER, M.S. & URSO, L.F. - Candidaalbicans endophthalmitis after penetrating keratoplasty. Am. J. Ophthalmol. 104: 57-60, 1987.
12 KARA JOSÉ, N.; MALTA, F.S.; NAKASHIMA, Y. - Ulcera de córnea perfurada e endoftalmite por Staphylococcus epidermidis (albus) após ceratoplastia parcial penetrante combinada com vitrectomia anterior. Arq. Bras. Oftalmol. 40: 426-429, 1977.
13 KHODADOUST, A.A. & FRANKLIN, R.M. - Transfer of bacterial infection by donor cornea in penetrating keratoplasty. Am. J. Ophthalmol. 87: 130-132, 1979.
14 LASS, J.H.; HAAF, J.; FOSTER, C.S.; BELCHER, C. - Visual outcome in eight cases of Serratia marcescens keratitis. Am. J. Ophthalmol. 92: 384-390, 1981.
15 LEVEILLE, A.S.; McMULLAN, F.D.; CAVANAGH, D.W. - Endophthalmitis following penetrating keratoplasty. Ophthalmology, 90: 38-39, 1983.
16 O'DAY, D.M. - Diseases potencially transmitted through corneal transplantation. Ophthamology, 96: 1133-1137, 1989.
17 PARDOS, G.L. & GALLAGHER, R.N. - Microbial contamination of donor eyes: a retrospective study. Arch. Ophthalmol. 100: 1611-1613, 1982.
18 PEPOSE, J.S. - Transfer of infection via corneal transplantation. Transplant. Proc. 21: 3130-3132, 1989.
19 POOLE, T.G. & INSLER, M.S. - Contamination of donor cornea by gentamicin resistant organisms. Am. J. Ophthalmol. 97: 560-564, 1984.
20 ROTKIS, W.M. - Postoperative considerations: Infections. In: BRIGHTBILL, F.S. - Corneal surgery: theory, technique and tissue. St Louis, C.V. Mosby, 1986. p.323-325.
21 WILSON, S.E. & BOURNE, W.M. - Corneal preservation. Surv. Ophthalmol. 33: 237-259, 1989.
22 YAU, C.W.; BUSIN, M.; AVNI, J.; KAUFMAN, H.E. - Antibacterial effect of donor corneas stored in gentamicin enriched McCarey-Kaufman medium. Arch. Ophthalmol. 104: 263-265, 1986.
23 YAU, C.W.; BUSIN, M.; KAUFMAN, H.E. - Ocular concentration of gentamicin after penetranting keroplasty. Am. J. Ophthalmol. 101: 44-48, 1986.
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