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Cataract surgery during active methicillin-resistant Staphylococcus aureus infection

Authors Mansour A, Salti H

Received 20 January 2014

Accepted for publication 22 February 2014

Published 15 April 2014 Volume 2014:8 Pages 739—742

DOI https://doi.org/10.2147/OPTH.S61037

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3


Ahmad M Mansour,1,2 Haytham I Salti1

1Department of Ophthalmology, American University of Beirut, 2Rafic Hariri University Hospital, Beirut, Lebanon

Abstract: We present two patients with active, foul-smelling, methicillin-resistant ­Staphylococcus aureus (MRSA) wounds of the forehead and sternum following craniotomy or open heart surgery. Both had debilitating cataracts and were told by the infectious diseases team that cataract surgery is very risky. Both underwent sequential bilateral phacoemulsification with no sign of infection. Patients with active MRSA wound infections may safely undergo cataract surgery with additional precautions observed intraoperatively (good wound construction) and postoperatively (topical antibiotics and close observation). Banning such surgeries can unnecessarily jeopardize the lifestyles of such patients.

Keywords:
cataract, infection, methicillin-resistant Staphylococcus aureus, phacoe­mulsification

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