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Jeane Haidee Mah-Sadorra, MD; Elisabeth J. Cohen, MD; Christopher J. Rapuano, MD

Arch Ophthalmol. 2004;122:1888-1889.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

An 81-year-old woman developed a wound infiltrate 3 weeks after clear-cornea cataract surgery in the right eye. Initial improvement with topical ofloxacin and corticosteroid was followed by development of a satellite lesion. On consultation, a corneal infiltrate with a crystalline appearance was seen near the surgical wound (Figure 1). Acid-fast stain showed acid-fast bacilli (Figure 2) and cultures grew Mycobacterium chelonae, which is sensitive to the following (in order of sensitivity, from greatest to least): clarithromycin, ciprofloxacin, tobramycin, and amikacin. The ulcer improved with topical amikacin sulfate and oral clarithromycin. Six weeks after diagnosis, a pars plana vitrectomy was performed for severe vitreous inflammation. Smears and culture of the vitreous body were negative for microorganisms. Two months later, the patient developed iritis, which responded to low-dose topical corticosteroids. As of this report, the . . . [Full Text of this Article]

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