Successful Treatment for Methicillinn Resistent Staphylococcus aureus Conjunctivitis Using 1% Povidone Iodine Eye Drop: Two Cases

Journal Title: Ophthalmology Research: An International Journal - Year 2017, Vol 7, Issue 2

Abstract

Purpose: Long-term bedridden patients frequently present with refractory chronic conjunctivitis. Multidrug-resistant bacteria, such as methicillin-resistant Staphylococcus aureus (MRSA), are often isolated; infections caused by such bacteria are treated with vancomycin, although refraining from overuse of this drug is recommended. Bacterial resistance to povidone-iodine (PI) has not been observed; hence, it can be effectively used for treating bacterial infections. However, it has not been popularly used for treating ocular surface infections. We report two cases of multidrug-resistant bacterial conjunctivitis treated with PI. Methods: Case 1: A 90-year-old male hospitalized for pneumonia caused by multidrug-resistant Pseudomonas aeruginosa. Case 2: A 56-year-old male hospitalized for brainstem hemorrhage. In both patients, there were signs of conjunctivitis and MRSA was cultured. To avoid overuse of vancomycin, we started 1% PI instillation thrice daily. Results: Clinical signs of the patients remarkably improved within a week of PI treatment. There were no distinct complications from PI treatment in either case. Conclusions: PI has a wide spectrum, does not induce bacterial resistance, is cheap, and can be obtained worldwide. Though further studies are necessary for wider practical use in clinical settings, PI ocular instillation is a reasonable option for treating ocular surface infections caused by multidrug-resistant bacteria, which are overseen by many general ophthalmologists.

Authors and Affiliations

Kazuki Matsuura, Yuki Terasaka, Ryu Uotani, Yoshitsugu Inoue

Keywords

Related Articles

Peculiar Case of Orbital Emphysema Caused by High-pressure Water Jet

Aim: To report an unusual case of orbital emphysema secondary to high pressure water jet injury. Presentation of Case: A 26-year-old Indian male sustained a two-centimeter facial laceration after a compressed water jet h...

Comparison between Ultrasonic Pachymetry and Scheimpflug Based Pentacam for Assessment of Central Corneal Thickness in Myopic Persons of Indian Sikh Origin

Aims: To compare the central corneal thickness (CCT) measurements between Ultrasound Pachymetry and by the Scheimpflug based Pentacam in myopic persons of Indian Sikh origin. Methodology: In a prospective study, 100 eyes...

Wolfram Syndrome: Report of Three Siblings with Early Vision Loss and Documented Lesion of the Entire Visual Pathway

Objective: Report and document in images the presence of WFS1 in three of four siblings, with loss of visual acuity as the initial clinical presentation. Design: Case series study. Participants: Three of four siblings...

A New Method for Calculating Residual Astigmatism Produced by Toric Intraocular Lens Rotation

Aims: To report a new method for calculating residual astigmatism when exact and inexact cylinder power toric intraocular lenses (IOLs) are rotated. Methodology: Using Excel spreadsheets and sin2θ values, we expressed th...

Risk Factors for the Development of Ophthalmopathy in Patients with Hashimoto’s Thyroiditis

Background: Ophthalmopathy, or thyroid eye disease (TED), is more often associated with Graves’ hyperthyroidism than Hashimoto’s thyroiditis. In the latter disorder, the pathogenesis of the eye signs may be different and...

Download PDF file
  • EP ID EP308822
  • DOI 10.9734/OR/2017/36471
  • Views 135
  • Downloads 0

How To Cite

Kazuki Matsuura, Yuki Terasaka, Ryu Uotani, Yoshitsugu Inoue (2017). Successful Treatment for Methicillinn Resistent Staphylococcus aureus Conjunctivitis Using 1% Povidone Iodine Eye Drop: Two Cases. Ophthalmology Research: An International Journal, 7(2), 1-4. https://europub.co.uk/articles/-A-308822