Purpose: To present the microbial spectrum and susceptibility of isolates in scleral buckle infections in India.
Design: Retrospective case series.
Method: Seventy-three isolates from 55 eyes with scleral buckle infection were studied.
Results: 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.
Conclusion: This large single-center study indicates the high prevalence of fungal, acid-fast organisms and polymicrobial organisms in buckle infections.