Successful Treatment for Methicillinn Resistent Staphylococcus aureus Conjunctivitis Using 1% Povidone Iodine Eye Drop: Two Cases
Journal Title: Ophthalmology Research: An International Journal - Year 2017, Vol 7, Issue 2
Abstract
Purpose: Long-term bedridden patients frequently present with refractory chronic conjunctivitis. Multidrug-resistant bacteria, such as methicillin-resistant Staphylococcus aureus (MRSA), are often isolated; infections caused by such bacteria are treated with vancomycin, although refraining from overuse of this drug is recommended. Bacterial resistance to povidone-iodine (PI) has not been observed; hence, it can be effectively used for treating bacterial infections. However, it has not been popularly used for treating ocular surface infections. We report two cases of multidrug-resistant bacterial conjunctivitis treated with PI. Methods: Case 1: A 90-year-old male hospitalized for pneumonia caused by multidrug-resistant Pseudomonas aeruginosa. Case 2: A 56-year-old male hospitalized for brainstem hemorrhage. In both patients, there were signs of conjunctivitis and MRSA was cultured. To avoid overuse of vancomycin, we started 1% PI instillation thrice daily. Results: Clinical signs of the patients remarkably improved within a week of PI treatment. There were no distinct complications from PI treatment in either case. Conclusions: PI has a wide spectrum, does not induce bacterial resistance, is cheap, and can be obtained worldwide. Though further studies are necessary for wider practical use in clinical settings, PI ocular instillation is a reasonable option for treating ocular surface infections caused by multidrug-resistant bacteria, which are overseen by many general ophthalmologists.
Authors and Affiliations
Kazuki Matsuura, Yuki Terasaka, Ryu Uotani, Yoshitsugu Inoue
Keywords
Related Articles
- EP ID EP308822
- DOI 10.9734/OR/2017/36471
- Views 137
- Downloads 0
Risk Factors for the Development of Inpatient Exposure Keratitis
Purpose: To identify the risk factors for inpatient exposure keratitis and make possible the development of improved educational tools for providers. Methods: Retrospective chart review of inpatient ophthalmology consult...
The Effect of an Air Bubble in the Anterior Chamber on the Change in Intraocular Pressure (IOP)
Purpose: To compare rate of change in IOP with and without air bubbles in the anterior chamber (AC). Methods: Enucleated porcine eyes were infused with Balanced Salt Solution (BSS) at 10μl/min. In one experiment, 5 eyes...
To Assess the Effect of Lighting on Identifying the Ishihara Colour Vision Plates in Trichromats
Aims: The main aim of present study is to investigate the effect of luminance on identifying the Ishihara colour vision plates in normal trichromats. Place and Duration of Study: Dr. Rishi Bhardwaj Visual Psychophysics l...
Rasayana Pills in Cataract- An Integration of Ancient Knowledge and Scientific Evidences
Introduction: Cataract is a principal cause of blindness in the world. Surgery, the major prevailing therapeutic approach for cataract is laced with various complications that include iris prolapse, raised intraocular pr...
Spontaneous Evolution of Lamellar Macular Hole into Full Thickness Macular Hole, and Resolution of the Same, Followed by Optical Coherence Tomography
Aim: Aim of this study is to, with the aid of optical coherence tomography, follow and evaluate spontaneous evolution of lamellar macular hole into full thickness macular hole, and vice versa. Methods: A 70-year-old fem...