Scleral buckle infection with Alcaligenes xylosoxidans

• Main Authors: Chih-Kang Hsu, Yun-Hsiang Chang, Jiann-Torng Chen
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Color Doppler imaging; hypertensive retinopathy; resistive index; Conjunctival graft; primary pterygium; recurrent pterygium; Intraocular pressure; singleton pregnancy; the number of fetuses; twin pregnancy; Accommodation; agreement; amplitude of accommodation; push-up method; Intraocular lens; non-sclera flap; transscleral pars plana suture fixation; Axial length; formulas; lens; power; short eyes; Acquired esotropia; favourable outcome; stereopsis; Diabetic retinopathy; enzyme-linked immunosorbent assay; immunology; interleukin-1β; interleukin-10; proliferative; Polypoidal choroidal vasculopathy; preferential hyperacuity perimetry; spectral-domain optical coherence tomography; Microincisional vitreous surgery; retained intraocular foreign bodies; transconjunctival sutureless vitrectomy; AS-OCT; bleb morphology; trabeculectomy; Horizontal muscle surgery; inferior oblique muscle recession surgery; macular thickness; optical coherence tomography; Ganglion cell complex; retinal nerve fiber layer; type 2 diabetes; Color vision; color vision testing; FM 100-Hue; Ishihara; Bilateral; monosymptomatic optic neuritis; Mycoplasma pneumoniae; retro-bulbar optic neuritis; Cavernous sinus involvement; chasmal involvement; optic atrophy; optic nerve sheath meningioma; Dicotyledones; pterygium surgery; subconjunctival foreign body; uveal prolase; Choroiodal melanoma; endoresection; vitrectomy; Acrylic lens; complication; ectopic lens; phacoemulsification; Oculocutaneous albinism; orbital plexiform neurofibroma; proptosis; Glistenings; hydrophobic acrylic; intraocular lens; Alcaligenes xylosoxidans; conjunctivitis; scleral buckle infection
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=6;spage=739;epage=741;aulast=Hsu
• ISSN: 0301-4738; 1998-3689

We describe a rare case of extraocular inflammation secondary to scleral buckle infection with Alcaligenes xylosoxidans. A 60-year-old female with a history of retinal detachment repair with open-book technique of scleral buckling presented with purulent discharge and irritation in the right eye that had begun 4 weeks earlier and had been treated ineffectively at another hospital. Conjunctival erosion with exposure of the scleral buckle was noted. The scleral buckle was removed and cultured. The explanted material grew gram-negative rod later identified as A. xylosoxidans. On the basis of the susceptibility test results, the patient was treated by subconjunctival injection and fortified topical ceftazidime. After 4 weeks of treatment, the infection resolved.