[
    {
        "id": "osp-12945",
        "type": "article-journal",
        "title": "Childhood microbial keratitis",
        "author": [
            {
                "family": "Al Otaibi",
                "given": "Abdullah G"
            },
            {
                "family": "Allam",
                "given": "Khalid"
            },
            {
                "family": "Damri",
                "given": "Al Johara"
            },
            {
                "family": "Al Shamri",
                "given": "Aysha"
            },
            {
                "family": "Kalantan",
                "given": "Hatem"
            },
            {
                "family": "Mousa",
                "given": "Ahmed"
            }
        ],
        "URL": "https://omanscience.com/ar/articles/childhood-microbial-keratitis",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2012
                ]
            ]
        },
        "container-title": "Oman Journal of Ophthalmology",
        "volume": "5",
        "issue": "1",
        "page": "28-31",
        "DOI": "10.4103/0974-620x.94763",
        "publisher": "Medknow Publications",
        "ISSN": "0974-620X",
        "abstract": "Purpose: To evaluate risk factors for pediatric microbial keratitis and to describe the clinical picture, microbial spectrum, treatment modalities, posttreatment sequelae, and visual outcome in cases with pediatric microbial keratitis.\n\nMaterials and methods: All cases of microbial keratitis that occurred in children 16 years or younger who had an initial examination between January 2000 and December 2010 at a tertiary referral eye hospital in Riyadh, Saudi Arabia, were identified. A retrospective review of medical records was conducted using a computer-based diagnosis code. Demographic data, predisposing factors, clinical course, microbial culture results, and visual outcomes were recorded.\n\nResults: Sixty-eight eyes were included in this study. Predisposing factors were identified in 63 eyes (92.6%). All patients had unilateral microbial keratitis. The mean±SD age was 4.5 ± 4.8 years and 57.4% were male. Trauma was the leading cause [27 eyes (39.7%)], followed by systemic diseases [14 eyes (20.6%)], contact lens wear [11 eyes (16.1%)], and ocular diseases [11 eyes (16.1%)]. Corneal scraping was performed in all cases. Five patients needed general anesthesia to carry out the corneal scraping. Thirty-four (50.0%) eyes showed positive cultures. Gram-positive bacteria accounted for 67.8% and gram-negative bacteria for 38.2% of isolates. Streptococcus pneumoniae was the most commonly isolated organism [8 eyes (25.8%)], followed by Staphylococcus epidermidis [7 eyes (22.7%)]. Pseudomonas aeruginosa was the most commonly isolated gram-negative [6 eyes (17.6%)] organism. One eye had corneal perforation and required surgical intervention. Forty-five of 68 eyes (66.2%) had a best-corrected visual acuity evaluation at the last follow-up and 28 eyes (62.2%) of them had a best-corrected visual acuity of 20/40 or better.\n\nConclusion: Children with suspected microbial keratitis require comprehensive evaluation and management. Early recognition, identifying the predisposing factors and etiological microbial organisms, and instituting appropriate treatment measures have a crucial role in outcome. Ocular trauma was the leading cause of childhood microbial keratitis in our study."
    }
]