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Ulcus corneae durch MRSA nach UV/Riboflavin-Crosslinking bei Keratokonus

Corneal ulcer caused by MRSA after UV/riboflavin cross-linking in a patient with bilateral keratoconus

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An Erratum to this article was published on 21 November 2012

Zusammenfassung

Das Riboflavin/UV-Crosslinking ist ein in Deutschland entwickeltes und weltweit angewandtes Verfahren zur Verfestigung und Stabilisation der Hornhaut bei Keratokonus. Das Verfahren gilt als sicher und komplikationsarm. In vorliegendem Fall berichten wir über eine schwere Hornhautinfektion durch MRSA („Methicillin-resistant Staphylococcus aureus“) nach Riboflavin/UV-Crosslinking am Oculus melior eines 40-jährigen männlichen Patienten. Trotz intensiver gezielter medikamentöser Therapie kam es nicht zu einer Ausheilung des Hornhautulkus. Als Ultima Ratio erfolgte schließlich eine perforierende Keratoplastik.

Abstract

Riboflavin/UV cross-linking is a surgical method for stabilizing a progressive form of keratoconus which was developed in Germany and is now used worldwide. The procedure is considered to be safe and rarely results in complications. In this article we report the case of a 40-year-old male patient with a severe infection due to methicillin-resistant Staphylococcus aureus (MRSA) after uneventful cross-linking in the better eye. Despite intensive local and oral therapy the ulcer did not heal completely and penetrating keratoplasty had to be performed.

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Literatur

  1. Cursiefen C (2009) Corneal crosslinking. Safe and effective? Ophthalmologe 106:164–165

    Article  PubMed  CAS  Google Scholar 

  2. Hoyer A,Raiskup-Wolf F, Spoerl E, Pillunat LE (2009) Kollagenvernetzung mit Riboflavin und UVA-Licht bei Keratokonus. Ophthalmologe 106:133–140

    Article  PubMed  CAS  Google Scholar 

  3. Caporossi A, Mazzotta C (2010) Long-term results of ultraviolet a corneal collagen cross-linking of keratokonus in Italy: the Siena Eye Cross Study. Am J Ophthalmol 149:4

    Article  Google Scholar 

  4. Wollensack G, Spoerl E, Seiler T (2003) Riboflavin/ultraviolet-a-induced collagen crosslinking for the treatment of keratoconus. Am J Ophthalmol 135:620–627

    Article  Google Scholar 

  5. Pollhammer M, Cursiefen C (2009) Bacterial keratitis early after corneal crosslinking with riboflavin and ultraviolet-A. J Cataract Refract Surg 35:588–589

    Article  PubMed  Google Scholar 

  6. Sharma N, Maharana P, Singh G, Titiyal J (2010) Pseudomonas keratitis after collagen crosslinking for keratokonus: case report and review of literature. J Cataract Refract Surg 36:517–520

    Article  PubMed  Google Scholar 

  7. Rama P, Matteo F, Matuska S et al (2009) Acanthamoeba keratitis with perforation after corneal crosslinking and bandage contact lens use. J Cataract Refract Surg 35:588–589

    Article  Google Scholar 

  8. Labiris G, Kaloghianni E, Koukoula S et al (2011) Corneal melting after collagen cross-linking for keratoconus: a case report. J Med Case Reports 5:152

    Article  Google Scholar 

  9. Rama P, Matteo F, Matuska S et al (2011) Severe keratitis following corneal cross-linking for keratoconus. Acta Ophthalmol 89:658

    Article  Google Scholar 

  10. Koller T, Mrochen M (2009) Complication and failure rates after corneal crosslinking. J Cataract Refract Surg 35:1385–1362

    Article  Google Scholar 

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Correspondence to T. Kohnen FEBO.

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Bödemann, M., Kohnen, T. Ulcus corneae durch MRSA nach UV/Riboflavin-Crosslinking bei Keratokonus. Ophthalmologe 109, 1112–1114 (2012). https://doi.org/10.1007/s00347-012-2603-2

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