Corneal ring abscess after cardiac surgery: a case report
The present case has been published in the Journal of Pediatrics.

Left ventricular dysfunction, lung collapse, and sepsis necessitated a prolonged stay in the cardiac intensive care unit for a 5-month-old baby after surgical closure of a ventricular septal defect. Although eye cleaning with normal saline-soaked gauze was carried out as a routine, there were gaps in the instillation of lubricant eye drops when the ventilated child was under the influence of muscle relaxant drugs.

He was noted to have purulent discharge from his eyes. Closer examination revealed a ring abscess of the cornea of the left eye. Blood cultures and eye swab grew Pseudomonas aeruginosa. He was treated with fortified tobramycin eye drops and parenteral ceftazidime.

Learning Points:-
- Care of the eyes is often neglected when larger issues like cardiac dysfunction and sepsis dominate the clinical picture.

- Perioperative malnutrition and cardiopulmonary bypass contribute to less-robust immune mechanisms.

- Having protocols for eye care in the intensive care unit, including periodic inspection of the eyes and regular instillation of lubricant eye drops, will help prevent this morbid complication.

Dr. C●●o t●●●●s
Dr. C●●o t●●●●s Ophthalmology
Oct 13, 2018Like