Question 8

You are called at 2am about a patient with a corneal laceration of the right eye when the beer bottle he crushed on his forehead broke. You take him to the OR and expertly repair the complex corneal laceration. You place intracameral dilute moxifloxacin (vigamox), subconjunctival vancomycin, ceftazidime and methylprednisolone acetate and start him on topical vigamox QID, pred-forte 6x/day and atropine daily. Over the next few days, he begins to develop necrosis of his bulbar conjunctiva along the inferior aspect of his right eye. What is the most likely cause?

Intracameral vigamox

Subconjunctival vancomycin

Subconjunctival ceftazidime

Subconjunctival methylprednisolone acetate

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