{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T04:42:02Z","timestamp":1747802522558,"version":"3.41.0"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Ophthalmological Medicine"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To report the risk of methicillin-resistant<jats:italic>Staphylococcus aureus<\/jats:italic>(MRSA) ocular infection after UVA-riboflavin corneal collagen cross-linking in a patient with atopic dermatitis.<jats:italic>Methods<\/jats:italic>. A 22-year-old man, with bilateral evolutive keratoconus and atopic dermatitis, underwent UVA-riboflavin corneal cross-linking and presented with rapidly progressive corneal abscesses and cyclitis in the treated eye five days after surgery. The patient was admitted to the hospital and treated with broad-spectrum antimicrobic therapy.<jats:italic>Results<\/jats:italic>. The patient had positive cultures for MRSA, exhibiting a strong resistance to antibiotics. Antibiotic therapy was modified and targeted accordingly. The intravitreal reaction is extinguished, but severe damage of ocular structures was unavoidable.<jats:italic>Conclusion<\/jats:italic>. Riboflavin\/UVA corneal cross-linking is considered a safe procedure and is extremely effective in halting keratoconus\u2019 progression. However, this procedure is not devoid of infectious complications, due to known risk factors and\/or poor patients\u2019 hygiene compliance in the postoperative period. Atopic dermatitis is a common disease among patients with keratoconus and<jats:italic>Staphylococcus aureus<\/jats:italic>colonization is commonly found in patients with atopic dermatitis. Therefore, comorbidity with atopic dermatitis should be thoroughly assessed through clinical history before surgery. A clinical evaluation within three days after surgery and the imposition of strict personal hygiene rules are strongly recommended.<\/jats:p>","DOI":"10.1155\/2015\/613273","type":"journal-article","created":{"date-parts":[[2015,3,18]],"date-time":"2015-03-18T22:08:26Z","timestamp":1426716506000},"page":"1-6","source":"Crossref","is-referenced-by-count":7,"title":["Methicillin-Resistant<i>Staphylococcus aureus<\/i>Ocular Infection after Corneal Cross-Linking for Keratoconus: Potential Association with Atopic Dermatitis"],"prefix":"10.1155","volume":"2015","author":[{"given":"Romina","family":"Fasciani","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery, Ophthalmology Unit, Catholic University of the Sacred Heart \u201cA. Gemelli\u201d, Largo \u201cA. 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