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Infectious keratitis after laser in situ keratomileusis: results of an ASCRS survey.
J Cataract Refract Surg 2003; 29(10):2001-6JC

Abstract

To investigate the incidence, culture results, treatment, and visual outcomes of infectious keratitis after laser in situ keratomileusis (LASIK) worldwide, the Cornea Clinical Committee of the American Society of Cataract and Refractive Surgery (ASCRS) contacted 8600 United States and international ASCRS members by e-mail and asked them to respond to a questionnaire about post-LASIK infectious keratitis. One hundred sixteen infections were reported by 56 LASIK surgeons who had performed an estimated 338 550 procedures. Seventy-six cases presented in the first week after surgery, 7 during the second week, 17 between the second and fourth weeks, and 16 after 1 month. Forty-seven cases were not diagnosed on initial presentation. The most common organisms cultured were atypical mycobacteria and staphylococci. Empiric therapy is not recommended as most of the organisms are opportunistic and not responsive to conventional therapy. Flap elevation and culturing should be performed when post-LASIK infectious keratitis is suspected.

Authors+Show Affiliations

Ophthalmic Consultants of Long Island, Rockville Centre, East Meadow, New York, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14604725

Citation

Solomon, Renée, et al. "Infectious Keratitis After Laser in Situ Keratomileusis: Results of an ASCRS Survey." Journal of Cataract and Refractive Surgery, vol. 29, no. 10, 2003, pp. 2001-6.
Solomon R, Donnenfeld ED, Azar DT, et al. Infectious keratitis after laser in situ keratomileusis: results of an ASCRS survey. J Cataract Refract Surg. 2003;29(10):2001-6.
Solomon, R., Donnenfeld, E. D., Azar, D. T., Holland, E. J., Palmon, F. R., Pflugfelder, S. C., & Rubenstein, J. B. (2003). Infectious keratitis after laser in situ keratomileusis: results of an ASCRS survey. Journal of Cataract and Refractive Surgery, 29(10), pp. 2001-6.
Solomon R, et al. Infectious Keratitis After Laser in Situ Keratomileusis: Results of an ASCRS Survey. J Cataract Refract Surg. 2003;29(10):2001-6. PubMed PMID: 14604725.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infectious keratitis after laser in situ keratomileusis: results of an ASCRS survey. AU - Solomon,Renée, AU - Donnenfeld,Eric D, AU - Azar,Dimitri T, AU - Holland,Edward J, AU - Palmon,F Rick, AU - Pflugfelder,Stephen C, AU - Rubenstein,Jonathan B, PY - 2003/11/8/pubmed PY - 2003/12/16/medline PY - 2003/11/8/entrez SP - 2001 EP - 6 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 29 IS - 10 N2 - To investigate the incidence, culture results, treatment, and visual outcomes of infectious keratitis after laser in situ keratomileusis (LASIK) worldwide, the Cornea Clinical Committee of the American Society of Cataract and Refractive Surgery (ASCRS) contacted 8600 United States and international ASCRS members by e-mail and asked them to respond to a questionnaire about post-LASIK infectious keratitis. One hundred sixteen infections were reported by 56 LASIK surgeons who had performed an estimated 338 550 procedures. Seventy-six cases presented in the first week after surgery, 7 during the second week, 17 between the second and fourth weeks, and 16 after 1 month. Forty-seven cases were not diagnosed on initial presentation. The most common organisms cultured were atypical mycobacteria and staphylococci. Empiric therapy is not recommended as most of the organisms are opportunistic and not responsive to conventional therapy. Flap elevation and culturing should be performed when post-LASIK infectious keratitis is suspected. SN - 0886-3350 UR - https://www.unboundmedicine.com/medline/citation/14604725/Infectious_keratitis_after_laser_in_situ_keratomileusis:_results_of_an_ASCRS_survey_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886335003005121 DB - PRIME DP - Unbound Medicine ER -