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Cornea:
doi: 10.1097/ICO.0b013e3181b532c7
Case Report

Atypical Mycobacterium Keratitis Associated With Penetrating Keratoplasty: Case Report of Successful Therapy With Topical Gatifloxacin 0.3%

Perez-Balbuena, Ana Lilia MD*; Vanzzini-Zago, Virginia ChPB†; Garza, Manuel MD*; Cancino, Diego Cuevas MD*

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Abstract

Purpose: To report successful therapy with gatifloxacin 0.3% ophthalmic solution (Zymar) in a patient with atypical mycobacterium keratitis after penetrating keratoplasty.

Methods: A 58-year-old patient was referred for evaluation of microbial keratitis after penetrating keratoplasty.

Results: Clinical examination of the patient revealed an infiltrate at the inferior graft-host junction with a satellite lesion with a mild inflammatory reaction in the anterior chamber. Microbiologic evaluation confirmed the diagnosis of atypical mycobacteria keratitis. The corneal abscess was completely eradicated with a topical course of gatifloxacin 0.3% with preservation of graft clarity and good visual acuity. Topical treatment with gatifloxacin 0.3% was continued for an additional period of 5 months.

Conclusion: Topical gatifloxacin 0.3% may be successfully used to treat microbial keratitis resulting from atypical mycobacteria.

© 2010 Lippincott Williams & Wilkins, Inc.

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