Microbiologic spectrum and susceptibility of isolates in scleral buckle infection in India.

Abstract

To present the microbial spectrum and susceptibility of isolates in scleral buckle infections in India. Retrospective case series. Seventy-three isolates from 55 eyes with scleral buckle infection were studied. The isolates included 30 gram-positive cocci (41.1%), 15 acid-fast bacilli (20.5%), 11 fungi (15.1%), 10 gram-positive bacilli (13.7%), and 7 gram-negative bacilli (9.6%). Eighteen eyes (32.7%) had polymicrobial infections. Gram-positive, gram-negative, and acid-fast isolates were most commonly susceptible to vancomycin (93%), ciprofloxacin (86%), and amikacin (80%), respectively. This large single-center study indicates the high prevalence of fungal, acid-fast organisms and polymicrobial organisms in buckle infections.