Purpose To describe the presentation and subsequent management of a case of se vere gonococcal keratitis in a young man. Design Case report. Methods A young ma n presented with severe gonococcal keratitis. Topical and...Purpose To describe the presentation and subsequent management of a case of se vere gonococcal keratitis in a young man. Design Case report. Methods A young ma n presented with severe gonococcal keratitis. Topical and systemic antibiotics w ere given with no improvement, and progressive corneal melting was noted. Deep l amellar keratoplasty was performed. The clarity and state of corneal graft and t he postoperative visual acuity were noted. Results At 6 months posttreatment, th e graft was clear, and no recurrence of infection was noticed. Corrected visual acuity was 20/25. Conclusion Deep lamellar keratoplasty should be considered as a therapeutic option in patients with severe gonococcal keratitis that does not respond to antibiotic treatment.展开更多
文摘Purpose To describe the presentation and subsequent management of a case of se vere gonococcal keratitis in a young man. Design Case report. Methods A young ma n presented with severe gonococcal keratitis. Topical and systemic antibiotics w ere given with no improvement, and progressive corneal melting was noted. Deep l amellar keratoplasty was performed. The clarity and state of corneal graft and t he postoperative visual acuity were noted. Results At 6 months posttreatment, th e graft was clear, and no recurrence of infection was noticed. Corrected visual acuity was 20/25. Conclusion Deep lamellar keratoplasty should be considered as a therapeutic option in patients with severe gonococcal keratitis that does not respond to antibiotic treatment.
