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Case Reports and Small Case Series
September 1998

Scleral Buckle Infection With Ciprofloxacin-Resistant Pseudomonas aeruginosa

Arch Ophthalmol. 1998;116(9):1251. doi:

Fluoroquinolones have gained widespread use for treating ocular infections.1,2 We report a case of scleral buckle infection with Pseudomonas aeruginosa resistant to ciprofloxacin.

A 35-year-old man was seen by his ophthalmologist in Ecuador with a 1-day history of irritation, redness, and chemosis of the left eye. Eighteen months earlier, he had undergone successful repair of rhegmatogenous retinal detachment in the left eye. A diagnosis of scleral buckle infection was made and therapy was begun with topical norfloxacin and 1% prednisone acetate every 2 hours along with ciprofloxacin, 500 mg twice a day by mouth. No improvement was noted after 1 week and the patient was seen at our institution. Visual acuity was 20/20 OD and 20/80 OS. Left eye showed severe erythema and chemosis of the bulbar conjunctiva. Fundus examination revealed attached retina with good buckle support.