Dr.Abha Gupta

Dr.Ramandeep Singh, Dr.Uday Tekchandani

Abstract

Case records of 2 male patients aged 67 and 27, who underwent scleral buckling for phakic retinal detachment (RD) elsewhere were reviewed. Both patients developed infection and underwent buckle explant, before referring to us. Fundus examination revealed shallow inferior RD involving macula in older patient and attached retina in younger patient. Swabs were sent for microbiological work up. Both patients received subconjunctival (s/conj) piperacillin and tazobactam(2.25mg/ml) near the lesion every alternate day. Culture was positive for Staphylococcus aureus with vancomycin sensitivity for older patient. The patient was given s/conj vancomycin (25mg/ml). In view of poor response, linezolid (20mg/ml) was administered through s/conj route along with topical linezolid till the complete resolution. Other patient showed no culture growth and healed with s/conj piperacillin+ tazobactam. Subconjunctival antibiotics are effective in treating infectious scleritis post buckling surgery.