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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 39-40

A case of double hypopyon secondary to Serratia keratitis after penetrating keratoplasty

1 Department of Ophthalmology, CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India
2 Department of Microbiology, CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India

Correspondence Address:
Dr. Ajit Kumar
MS Ophthalmology, CL Gupta Eye Institute, Ram Ganga Vihar, Phase 2 (Ext), Moradabad - 244 001, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1924_21

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We report a case of a 39-year-old male who underwent therapeutic penetrating keratoplasty in his left eye. Three weeks after the procedure, he presented with complaints of blurred vision, redness in the eye, and ocular pain after trauma by insect bite four days back. Slit-lamp examination revealed central epithelial defect with deep stromal infiltrate accompanied by a double hypopyon. Serratia sp. was isolated on cultures. Serratia marcescens was confirmed on the VITEK 2 system. Isolated organism was sensitive to imipenem. Fortified imipenem 1% eye drop was started on a half-hourly basis. At six weeks follow-up, resolving infiltrate with significant corneal scarring and vascularization was seen.

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