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Nocardia keratitis after traumatic detachment of a laser in situ keratomileusis flap.
J Refract Surg. 2000 Jul-Aug; 16(4):467-9.JR

Abstract

PURPOSE

Nocardia are gram-positive bacteria existing ubiquitously in the environment; they can cause keratitis. Nocardia asteroides keratitis occurred in the interface between the stromal bed and flap after traumatic detachment of the flap 4 months after an initially uncomplicated laser in situ keratomileusis (LASIK) procedure.

METHODS

Nocardia asteroides keratitis was confirmed by culture. Therapy included topical and oral trimethoprim-sulfamethoxazole.

RESULTS

Thirteen months after the trauma, the patient's spectacle-corrected visual acuity was 20/20 with a manifest refraction of -2.25 -1.00 x 30 degrees.

CONCLUSIONS

The immediate steps of management consisting of surgically lifting the corneal flap, rapid microbial identification, and proper treatment with specific antibiotics resulted in the successful treatment of Nocardia asteroides keratitis in a traumatized eye after LASIK.

Authors+Show Affiliations

Institute of Vision Research and Department of Ophthalmology, Brain Korea 21, Yonsei University College of Medicine, Seoul.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10939728

Citation

Kim, E K., et al. "Nocardia Keratitis After Traumatic Detachment of a Laser in Situ Keratomileusis Flap." Journal of Refractive Surgery (Thorofare, N.J. : 1995), vol. 16, no. 4, 2000, pp. 467-9.
Kim EK, Lee DH, Lee K, et al. Nocardia keratitis after traumatic detachment of a laser in situ keratomileusis flap. J Refract Surg. 2000;16(4):467-9.
Kim, E. K., Lee, D. H., Lee, K., Lim, S. J., Yoon, I. S., & Lee, Y. G. (2000). Nocardia keratitis after traumatic detachment of a laser in situ keratomileusis flap. Journal of Refractive Surgery (Thorofare, N.J. : 1995), 16(4), 467-9.
Kim EK, et al. Nocardia Keratitis After Traumatic Detachment of a Laser in Situ Keratomileusis Flap. J Refract Surg. 2000 Jul-Aug;16(4):467-9. PubMed PMID: 10939728.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nocardia keratitis after traumatic detachment of a laser in situ keratomileusis flap. AU - Kim,E K, AU - Lee,D H, AU - Lee,K, AU - Lim,S J, AU - Yoon,I S, AU - Lee,Y G, PY - 2000/8/12/pubmed PY - 2001/2/28/medline PY - 2000/8/12/entrez SP - 467 EP - 9 JF - Journal of refractive surgery (Thorofare, N.J. : 1995) JO - J Refract Surg VL - 16 IS - 4 N2 - PURPOSE: Nocardia are gram-positive bacteria existing ubiquitously in the environment; they can cause keratitis. Nocardia asteroides keratitis occurred in the interface between the stromal bed and flap after traumatic detachment of the flap 4 months after an initially uncomplicated laser in situ keratomileusis (LASIK) procedure. METHODS: Nocardia asteroides keratitis was confirmed by culture. Therapy included topical and oral trimethoprim-sulfamethoxazole. RESULTS: Thirteen months after the trauma, the patient's spectacle-corrected visual acuity was 20/20 with a manifest refraction of -2.25 -1.00 x 30 degrees. CONCLUSIONS: The immediate steps of management consisting of surgically lifting the corneal flap, rapid microbial identification, and proper treatment with specific antibiotics resulted in the successful treatment of Nocardia asteroides keratitis in a traumatized eye after LASIK. SN - 1081-597X UR - https://www.unboundmedicine.com/medline/citation/10939728/Nocardia_keratitis_after_traumatic_detachment_of_a_laser_in_situ_keratomileusis_flap_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=10939728.ui DB - PRIME DP - Unbound Medicine ER -