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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.
Chaudhry NA, Tabandeh H, Rosenfeld PJ, Miller D, Davis J. Scleral Buckle Infection With Ciprofloxacin-Resistant Pseudomonas aeruginosa. Arch Ophthalmol. 1998;116(9):1251. doi:https://doi.org/
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