Evaluation of infectious crystalline keratitis with confocal microscopy in a case series

John E. Sutphin, Arturo L. Kantor, William Mathers, Mary G. Mehaffey

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

We sought to determine whether there are unique findings in infectious crystalline keratitis (ICK) examined by confocal microscopy and if confocal microscopy is predictive for bacteriology in ICK. A retrospective review of consecutive patients with a presumed diagnosis of ICK by slit-lamp examination was performed. These patients were then examined with confocal microscope and cultured. Sixteen patients were identified by biomicroscopy. Average age was 71 years; 12 of 16 patients were women: 10 of 16 had prior penetrating keratoplasty; and 12 of 16 were taking topical steroids. Confocal microscopy revealed a variable appearance to the crystals in the corneal stroma. Eight of 16 patients had distinct needle-like deposits at varying depths in the stroma, and eight had amorphous deposits grouped at different levels of the stroma. The results of confocal microscopic examination resembled the reported histopathology with clusters of deposits, but its current resolution does not allow identification of bacterial morphology. There was no correlation of morphology with culture results. Organisms were recovered in 12 of 16 patients by culture. In 10 of 16 patients, the infection was successfully treated with topical antibiotics, usually cefazolin. Crystal morphology of ICK can be observed by confocal microscopy. No pathognomonic, single pattern for this disease is seen with the confocal microscope. The latter may be an aid in determining the clinical response to treatment.

Original languageEnglish (US)
Pages (from-to)21-26
Number of pages6
JournalCornea
Volume16
Issue number1
StatePublished - Jan 1997
Externally publishedYes

Fingerprint

Keratitis
Confocal Microscopy
Corneal Stroma
Cefazolin
Penetrating Keratoplasty
Bacteriology
Needles
Steroids
Anti-Bacterial Agents
Infection

Keywords

  • Confocal microscope
  • Crystalline keratopathy
  • Infectious keratitis
  • Keratoplasty
  • Stromal deposits

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Sutphin, J. E., Kantor, A. L., Mathers, W., & Mehaffey, M. G. (1997). Evaluation of infectious crystalline keratitis with confocal microscopy in a case series. Cornea, 16(1), 21-26.

Evaluation of infectious crystalline keratitis with confocal microscopy in a case series. / Sutphin, John E.; Kantor, Arturo L.; Mathers, William; Mehaffey, Mary G.

In: Cornea, Vol. 16, No. 1, 01.1997, p. 21-26.

Research output: Contribution to journalArticle

Sutphin, JE, Kantor, AL, Mathers, W & Mehaffey, MG 1997, 'Evaluation of infectious crystalline keratitis with confocal microscopy in a case series', Cornea, vol. 16, no. 1, pp. 21-26.
Sutphin, John E. ; Kantor, Arturo L. ; Mathers, William ; Mehaffey, Mary G. / Evaluation of infectious crystalline keratitis with confocal microscopy in a case series. In: Cornea. 1997 ; Vol. 16, No. 1. pp. 21-26.
@article{93a95c12cd7e4ae28eae76243761d00c,
title = "Evaluation of infectious crystalline keratitis with confocal microscopy in a case series",
abstract = "We sought to determine whether there are unique findings in infectious crystalline keratitis (ICK) examined by confocal microscopy and if confocal microscopy is predictive for bacteriology in ICK. A retrospective review of consecutive patients with a presumed diagnosis of ICK by slit-lamp examination was performed. These patients were then examined with confocal microscope and cultured. Sixteen patients were identified by biomicroscopy. Average age was 71 years; 12 of 16 patients were women: 10 of 16 had prior penetrating keratoplasty; and 12 of 16 were taking topical steroids. Confocal microscopy revealed a variable appearance to the crystals in the corneal stroma. Eight of 16 patients had distinct needle-like deposits at varying depths in the stroma, and eight had amorphous deposits grouped at different levels of the stroma. The results of confocal microscopic examination resembled the reported histopathology with clusters of deposits, but its current resolution does not allow identification of bacterial morphology. There was no correlation of morphology with culture results. Organisms were recovered in 12 of 16 patients by culture. In 10 of 16 patients, the infection was successfully treated with topical antibiotics, usually cefazolin. Crystal morphology of ICK can be observed by confocal microscopy. No pathognomonic, single pattern for this disease is seen with the confocal microscope. The latter may be an aid in determining the clinical response to treatment.",
keywords = "Confocal microscope, Crystalline keratopathy, Infectious keratitis, Keratoplasty, Stromal deposits",
author = "Sutphin, {John E.} and Kantor, {Arturo L.} and William Mathers and Mehaffey, {Mary G.}",
year = "1997",
month = "1",
language = "English (US)",
volume = "16",
pages = "21--26",
journal = "Cornea",
issn = "0277-3740",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Evaluation of infectious crystalline keratitis with confocal microscopy in a case series

AU - Sutphin, John E.

AU - Kantor, Arturo L.

AU - Mathers, William

AU - Mehaffey, Mary G.

PY - 1997/1

Y1 - 1997/1

N2 - We sought to determine whether there are unique findings in infectious crystalline keratitis (ICK) examined by confocal microscopy and if confocal microscopy is predictive for bacteriology in ICK. A retrospective review of consecutive patients with a presumed diagnosis of ICK by slit-lamp examination was performed. These patients were then examined with confocal microscope and cultured. Sixteen patients were identified by biomicroscopy. Average age was 71 years; 12 of 16 patients were women: 10 of 16 had prior penetrating keratoplasty; and 12 of 16 were taking topical steroids. Confocal microscopy revealed a variable appearance to the crystals in the corneal stroma. Eight of 16 patients had distinct needle-like deposits at varying depths in the stroma, and eight had amorphous deposits grouped at different levels of the stroma. The results of confocal microscopic examination resembled the reported histopathology with clusters of deposits, but its current resolution does not allow identification of bacterial morphology. There was no correlation of morphology with culture results. Organisms were recovered in 12 of 16 patients by culture. In 10 of 16 patients, the infection was successfully treated with topical antibiotics, usually cefazolin. Crystal morphology of ICK can be observed by confocal microscopy. No pathognomonic, single pattern for this disease is seen with the confocal microscope. The latter may be an aid in determining the clinical response to treatment.

AB - We sought to determine whether there are unique findings in infectious crystalline keratitis (ICK) examined by confocal microscopy and if confocal microscopy is predictive for bacteriology in ICK. A retrospective review of consecutive patients with a presumed diagnosis of ICK by slit-lamp examination was performed. These patients were then examined with confocal microscope and cultured. Sixteen patients were identified by biomicroscopy. Average age was 71 years; 12 of 16 patients were women: 10 of 16 had prior penetrating keratoplasty; and 12 of 16 were taking topical steroids. Confocal microscopy revealed a variable appearance to the crystals in the corneal stroma. Eight of 16 patients had distinct needle-like deposits at varying depths in the stroma, and eight had amorphous deposits grouped at different levels of the stroma. The results of confocal microscopic examination resembled the reported histopathology with clusters of deposits, but its current resolution does not allow identification of bacterial morphology. There was no correlation of morphology with culture results. Organisms were recovered in 12 of 16 patients by culture. In 10 of 16 patients, the infection was successfully treated with topical antibiotics, usually cefazolin. Crystal morphology of ICK can be observed by confocal microscopy. No pathognomonic, single pattern for this disease is seen with the confocal microscope. The latter may be an aid in determining the clinical response to treatment.

KW - Confocal microscope

KW - Crystalline keratopathy

KW - Infectious keratitis

KW - Keratoplasty

KW - Stromal deposits

UR - http://www.scopus.com/inward/record.url?scp=0031023606&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031023606&partnerID=8YFLogxK

M3 - Article

C2 - 8985629

AN - SCOPUS:0031023606

VL - 16

SP - 21

EP - 26

JO - Cornea

JF - Cornea

SN - 0277-3740

IS - 1

ER -