Atypical Pneumococcal Scleritis After Pterygium Excision

Paula, Jayter Silva; Simão, Maria Lúcia Habib; Rocha, Eduardo Melani; Romão, Erasmo; Cruz, Antônio Augusto Velasco e

doi:10.1097/01.ico.0000164784.18290.45

Cited by 21 publications

(22 citation statements)

References 20 publications

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“…6,10,17,18 To our knowledge, there have been no previous reports with MRSA as a cause. MRSA has been recognized as a cause of nosocomial infections since the 1960s.…”

Section: Discussionmentioning

confidence: 75%

Methicillin-Resistant Staphylococcus aureus Sclerokeratitis After Pterygium Excision

Lee

Oum

Choi

et al. 2007

Cornea

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“…6,10,17,18 To our knowledge, there have been no previous reports with MRSA as a cause. MRSA has been recognized as a cause of nosocomial infections since the 1960s.…”

Section: Discussionmentioning

confidence: 75%

Methicillin-Resistant Staphylococcus aureus Sclerokeratitis After Pterygium Excision

Lee

Oum

Choi

et al. 2007

Cornea

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“…27,55,59, 148 Post-surgical and post-traumatic causes of scleritis are generally bacterial in nature, upwards of 45% of all cases. 32,58, 83,114,148 These exogenous infections may require combined medical and surgical management because of their more destructive and suppurative nature and poor antibiotic penetration. 22,59,154 Although a rare complication, pterygium excision is the most common surgical procedure associated with infectious scleritis, followed by scleral buckle surgery.…”

Section: Infectious Scleritismentioning

confidence: 99%

Treatment and management of scleral disorders

Diaz

Sobol

Gritz

2016

Survey of Ophthalmology

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“…Methicillin-resistant Staphylococcus aureus (MRSA) was reported after pars plana vitrectomy [68], scleral buckling for retinal detachment [69], pterygium excision [70], after healing of a chronic diabetic foot ulcer due to same organism [6], and trauma [9 •• ]. Scleritis due to Streptococcus species is most commonly seen after pterygium surgery [2,19,45,71]. Ho et al have reported scleritis due to Streptococcus species (viridans group) after trauma [11 •• ].…”

Section: Microbiological Profilementioning

confidence: 99%

Infectious Scleritis

Murthy

Reddy

Sharma

et al. 2015

Curr Ophthalmol Rep

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Scleritis is a rare but painful, indolent, locally destructive, and devastating disease of the sclera. While immune-mediated scleritis with or without systemic association forms a vast majority of the cases seen in the clinics, approximately 5-18 % of all cases of scleritis can be due to infectious process. The challenges in the diagnosis and management of infectious scleritis are multiple. The diagnosis is often delayed due to the close similarity of clinical presentation between non-infectious and infectious etiology, and also because the clinical signs of infection may be obvious only in the late stages. In addition, the use of corticosteroids in presumed non-infectious scleritis further complicates the management. Microbiological diagnosis is often elusive as the organisms lie deep within the scleral layers and repeated biopsy is sometimes required for its identification. These microbes can be indolent in nature and traditional testing to detect them may not suffice. The management of infectious scleritis is fraught with multiple hurdles. In the case of medical management, the avascular scleral tissue has poor penetration of topically applied medications-especially antifungal agents, necessitating additional parenteral therapy for prolonged periods. Surgical modalities such as debridement of infected and necrotic tissue are mandatory. In this review, we describe the clinical features, differential diagnosis, and microbiological spectrum of infectious scleritis. This review also highlights the medical and surgical management of this difficult entity and will provide a comprehensive literature review of this disease.

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Atypical Pneumococcal Scleritis After Pterygium Excision

Abstract: Streptococcus pneumoniae must be considered as a possible agent in cases of necrotizing scleritis associated with pterygium excision.

Cited by 21 publications

References 20 publications

Methicillin-Resistant Staphylococcus aureus Sclerokeratitis After Pterygium Excision

Methicillin-Resistant Staphylococcus aureus Sclerokeratitis After Pterygium Excision

Treatment and management of scleral disorders

Infectious Scleritis

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