2004
DOI: 10.1080/08820530490882517
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Clinicopathologic case report: scleral buckle associated nontuberculous mycobacterial scleritis

Abstract: Nontuberculous mycobacterial (NTM) infections have become increasingly important in ophthalmology, particularly with keratorefractive surgery. We report a case of scleral buckle associated NTM scleritis occurring in a 69-year-old male after silicone sponge explant removal. Purulent scleral ulceration with nodule formation persisted despite topical antimicrobial therapy, buckle removal, and surgical debridement. Eventually, tissue biopsy revealed noncasseating granulomas with acid-fast bacilli that were identif… Show more

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Cited by 13 publications
(4 citation statements)
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“…Case reports and series from other ocular sites have been rare (Gupta et al 2003; Wilhelmus 2003; Nielsen et al 2004; Spencer et al 2005; Matieli et al 2006). Treatment strategies include amikacin and clarithromycin (Wilhelmus 2003).…”
Section: Spectrum Of Activitymentioning
confidence: 99%
“…Case reports and series from other ocular sites have been rare (Gupta et al 2003; Wilhelmus 2003; Nielsen et al 2004; Spencer et al 2005; Matieli et al 2006). Treatment strategies include amikacin and clarithromycin (Wilhelmus 2003).…”
Section: Spectrum Of Activitymentioning
confidence: 99%
“…Typical signs and symptoms include irritation, discomfort, discharge, chemosis, and injection. Less common signs of infection include intraocular inflammation,17 scleritis,18 and conjunctival granuloma 19…”
Section: Discussionmentioning
confidence: 99%
“…The flora of the eyelids and conjunctiva are one major source of bacterial contamination of scleral buckles (15). The microorganisms involved in scleral buckle infections include a majority of staphylococci (17) followed by pseudomonas, proteus (15,(18)(19)(20), atypical mycobacteria (21)(22)(23)(24), and fungi (25,26). The conjunctiva grew coagulase-positive staphylococci (Case 3), coagulase-negative staphylococci (Case 4), and pseudomonas (Cases 14 and 15), in addition to the buckle growing Aspergillus in one case (Case 12).…”
Section: Discussionmentioning
confidence: 99%