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Year : 2022  |  Volume : 2  |  Issue : 4  |  Page : 889-890

Atypical early presentation of graft suture infection

Department of Cornea, Ophthalmology, Leicester Royal Infirmary, University Hospitals of Leicester, Leicester, United Kingdom

Correspondence Address:
Dr. Mercedes Molero-Senosiain
Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1041_22

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We report an atypical presentation of a corneal graft suture-related abscess. An 80-year-old female with a history of Moraxella and herpetic keratitis successfully treated with penetrating keratoplasty was noted to have a semi-circular pigmented line of keratic precipitates straddling a single suture during a routine follow-up appointment. After 48 hours of oral anti-viral and topical steroid therapy for presumed graft rejection, she developed a suture abscess with hypopyon. Treatment with intensive topical antibiotics was commenced, and the case resulted in complete resolution. Semi-circular endothelial keratic precipitates could be an early sign of suture infection.

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