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International Ophthalmology
Published in: International Ophthalmology 1/2015

01-02-2015 | Case Report

Challenges in the management of Neisseria gonorrhoeae keratitis

Authors: Elizabeth McElnea, Patrick Stapleton, Sheryar Khan, John Stokes, Gareth Higgins

Published in: International Ophthalmology | Issue 1/2015

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Abstract

We describe the presentation and subsequent management of a case of keratitis caused by Neisseria gonorrhoeae. A thirty-nine year old gentleman presented with a purulent ocular discharge. Corneal melt with corneal perforation occurred. Neisseria gonorrhoeae was cultured. Systemic and topical antibiotics were given. Deep lamellar keratoplasty was performed for corneal perforation. At three months post treatment no recurrence of infection was noted. The possibility of Neisseria gonorrhoeaea keratitis should always be considered in patients with a purulent ocular discharge even if the case history is not immediately suggestive of the same. Severe gonococcal keratitis may be unilateral. Deep lamellar keratoplasty can be considered as a therapeutic option in patients with severe gonococcal keratitis.
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Metadata
Title
Challenges in the management of Neisseria gonorrhoeae keratitis
Authors
Elizabeth McElnea
Patrick Stapleton
Sheryar Khan
John Stokes
Gareth Higgins
Publication date
01-02-2015
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 1/2015
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-014-0032-8

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