April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
EPIDEMIOLOGY AND OUTCOMES OF KOCURIA KERATITIS
Author Affiliations & Notes
  • Arturo J Ramirez-Miranda
    Cornea and Refractive Surgery, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico
  • Jazmin Lucero Pedro Aguilar
    Cornea and Refractive Surgery, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico
  • Victor Manuel Bautista
    Microbiology, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico
  • Mariana Ortiz-Casas
    Microbiology, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico
  • Alejandro Navas
    Cornea and Refractive Surgery, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico
  • Enrique O Graue
    Cornea and Refractive Surgery, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico
  • Footnotes
    Commercial Relationships Arturo Ramirez-Miranda, None; Jazmin Pedro Aguilar, None; Victor Bautista, None; Mariana Ortiz-Casas, None; Alejandro Navas, None; Enrique Graue, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 2839. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Arturo J Ramirez-Miranda, Jazmin Lucero Pedro Aguilar, Victor Manuel Bautista, Mariana Ortiz-Casas, Alejandro Navas, Enrique O Graue; EPIDEMIOLOGY AND OUTCOMES OF KOCURIA KERATITIS. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2839.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract
 
Purpose
 

To report a series of patients with infectious keratitis caused by Kocuria spp, the diagnostic dilemma it presents to the clinician, review the treatment regimen, and the clinical outcomes of the cases

 
Methods
 

Non-comparative consecutive case series. Medical records and microbiology results of patients who presented Kocuria spp. keratitis. Data included demographic data, past medical history, risk factors for infectious keratitis, clinical characteristics, microbiological results and drug sensitivity, clinical course, management, and visual outcomes.

 
Results
 

Six patients were included, all females, mean patient age was 64.6 years (range from 42 to 84 years). All had risk factors for infectious complications. The main causes of infections were diverse: filamentous keratitis, dry eye, blepharitis, and persistent corneal edema. In all cases, ulcers were classified as severe. The infection resolved with medical treatment in one eye only. One case was managed with amniotic membrane graft. One patient required lamellar keratoplasty and another penetrating keratoplasty. In two cases, the keratitis was severe enough to require evisceration. The final visual acuity ranged from 20/25 to no light perception.

 
Conclusions
 

The bacterial keratitis by Kocuria spp. is a rare infection associated with compromised immunity. It may have an unexpected clinical course with possible serious outcomes. It is important to consider this pathogen in patients concomitant ocular surface disease and unusual clinical course.

 
Keywords: 573 keratitis • 479 cornea: clinical science • 593 microbial pathogenesis: clinical studies  
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×