| 본문 :
All three cases were presumed to be immune related SINS and transferred to cornea clinic because of refractory lesion to vigorous immunosuppressive therapy. At the initial presentation to our clinic, we performed smear and culture for the secondary microbial infection. Pseudomonas aeruginosa was isolated in all three cases. Preemptive microbial treatment and prompt surgical intervention were performed first to cover infection and subsequent use of immunosuppressant could draw successful remission of the lesion
Conclusion
We should consider the possibility of secondary microbial infection even in patients with immune related SINS. Microbial culture is necessary at the first visit, and broad-spectrum antibiotics should be administered. Superinfection should be suspected primarily when the lesion is not controlled or any clinical change appears.
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