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MYCOBACTERIUM ABSCESSUS SCLERAL BUCKLE INFECTION.

Publication ,  Journal Article
Cai, S; Song, A; Borkar, DS
Published in: Retinal cases & brief reports
November 2023

To report the successful management of a rare case of Mycobacterium abscessus scleral buckle infection.Case report.A 63-year-old woman with a history of sarcoid anterior uveitis and macula-off retinal detachment repaired by scleral buckle and pars plana vitrectomy presented with eye pain, redness, and purulent drainage in the left eye. Slit-lamp examination showed superonasal scleral buckle exposure, purulent conjunctival discharge, corneal edema, nongranulomatous keratic precipitates, and anterior chamber cell and flare. The patient underwent urgent scleral buckle removal. Intraoperatively, an area of scleral thinning without perforation underneath the exposed buckle was discovered and covered with a scleral patch graft, and an amniotic membrane graft was used to cover an area of bare sclera with significant conjunctival scarring and retraction. Cultures grew M. abscessus panresistant except to amikacin. After 6 weeks of fortified amikacin drops and a long taper of topical steroid therapy for persistent postoperative anterior uveitis, the patient's symptoms resolved.Mycobacterium is an emerging causative agent of scleral buckle infections. Our report provides insights about the management of such cases.

Duke Scholars

Published In

Retinal cases & brief reports

DOI

EISSN

1937-1578

ISSN

1935-1089

Publication Date

November 2023

Volume

17

Issue

6

Start / End Page

744 / 746

Related Subject Headings

  • Vitrectomy
  • Uveitis, Anterior
  • Scleral Buckling
  • Sclera
  • Retinal Detachment
  • Postoperative Complications
  • Mycobacterium abscessus
  • Middle Aged
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Cai, S., Song, A., & Borkar, D. S. (2023). MYCOBACTERIUM ABSCESSUS SCLERAL BUCKLE INFECTION. Retinal Cases & Brief Reports, 17(6), 744–746. https://doi.org/10.1097/icb.0000000000001277
Cai, Sophie, Ailin Song, and Durga S. Borkar. “MYCOBACTERIUM ABSCESSUS SCLERAL BUCKLE INFECTION.Retinal Cases & Brief Reports 17, no. 6 (November 2023): 744–46. https://doi.org/10.1097/icb.0000000000001277.
Cai S, Song A, Borkar DS. MYCOBACTERIUM ABSCESSUS SCLERAL BUCKLE INFECTION. Retinal cases & brief reports. 2023 Nov;17(6):744–6.
Cai, Sophie, et al. “MYCOBACTERIUM ABSCESSUS SCLERAL BUCKLE INFECTION.Retinal Cases & Brief Reports, vol. 17, no. 6, Nov. 2023, pp. 744–46. Epmc, doi:10.1097/icb.0000000000001277.
Cai S, Song A, Borkar DS. MYCOBACTERIUM ABSCESSUS SCLERAL BUCKLE INFECTION. Retinal cases & brief reports. 2023 Nov;17(6):744–746.

Published In

Retinal cases & brief reports

DOI

EISSN

1937-1578

ISSN

1935-1089

Publication Date

November 2023

Volume

17

Issue

6

Start / End Page

744 / 746

Related Subject Headings

  • Vitrectomy
  • Uveitis, Anterior
  • Scleral Buckling
  • Sclera
  • Retinal Detachment
  • Postoperative Complications
  • Mycobacterium abscessus
  • Middle Aged
  • Humans
  • Female