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Title: Recurrent methicillin-resistant Staphylococcus aureus wound ulcer after clear-cornea cataract surgery. Author: Chiang RK, Rapuano CJ. Journal: CLAO J; 2002 Jul; 28(3):109-10. PubMed ID: 12144227. Abstract: PURPOSE: To present a case of recurrent, methicillin-resistant Staphylococcus aureus (MRSA) wound ulcer after clear-cornea cataract surgery. METHODS: Case report. RESULTS: An 82-year-old man underwent an uncomplicated phacoemulsification procedure with posterior-chamber intraocular lens (PCIOL) implantation. Two weeks after surgery, a corneal ulcer was present at the wound site. Corneal tissue sample cultures produced methicillin-resistant Staphylococcus aureus. The ulcer responded to high-dose vancomycin but recurred twice as vancomycin was tapered. Lamellar keratectomy with conjunctival flap was performed at 6 months after surgery, with no additional ulcer recurrence. CONCLUSIONS: Wound infection after clear-cornea cataract surgery occurs infrequently. Management of these infections, however, can provide challenging clinical decisions.[Abstract] [Full Text] [Related] [New Search]