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Acinetobacter and Staphylococcus aureus ulcerative keratitis after laser in situ keratomileusis treated with antibiotics and phototherapeutic keratectomy.
J Refract Surg. 2005 Jul-Aug; 21(4):404-6.JR

Abstract

PURPOSE

To report a method of treatment for through-the-flap multibacterial ulcerative keratitis after laser in situ keratomileusis (LASIK).

METHODS

Bacterial ulcerative keratitis after LASIK was treated with topical and systemic antibiotics followed by flap lifting, cleaning, and phototherapeutic keratectomy (PTK). Follow-up examinations included in vivo confocal microscopy, corneal topography, and wavefront analysis.

RESULTS

Rapid recovery of the ulcerative keratitis was observed after flap lifting and cleaning of the interface and PTK combined with topical and systemic antibiotics. Two years postoperatively, corneal topography showed a slight depression of the ulcer area and decentration of the photoablation. Wavefront analysis revealed an irregular scan with a pronounced coma-like aberration, which with a wavefront-guided custom test lens correction provided 20/16 visual acuity.

CONCLUSIONS

Ulcerative bacterial keratitis is a possible sight-threatening complication of LASIK refractive surgery. Lifting and rinsing the flap combined with cleaning of the flap interface with PTK may be helpful in these conditions when regression of the ulcer does not occur with topical and oral antibiotic treatment.

Authors+Show Affiliations

Department of Ophthalmology, Helsinki University Central Hospital, Helsinki, Finland.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16128342

Citation

Lindbohm, Nina, et al. "Acinetobacter and Staphylococcus Aureus Ulcerative Keratitis After Laser in Situ Keratomileusis Treated With Antibiotics and Phototherapeutic Keratectomy." Journal of Refractive Surgery (Thorofare, N.J. : 1995), vol. 21, no. 4, 2005, pp. 404-6.
Lindbohm N, Moilanen JA, Vesaluoma MH, et al. Acinetobacter and Staphylococcus aureus ulcerative keratitis after laser in situ keratomileusis treated with antibiotics and phototherapeutic keratectomy. J Refract Surg. 2005;21(4):404-6.
Lindbohm, N., Moilanen, J. A., Vesaluoma, M. H., & Tervo, T. M. (2005). Acinetobacter and Staphylococcus aureus ulcerative keratitis after laser in situ keratomileusis treated with antibiotics and phototherapeutic keratectomy. Journal of Refractive Surgery (Thorofare, N.J. : 1995), 21(4), 404-6.
Lindbohm N, et al. Acinetobacter and Staphylococcus Aureus Ulcerative Keratitis After Laser in Situ Keratomileusis Treated With Antibiotics and Phototherapeutic Keratectomy. J Refract Surg. 2005 Jul-Aug;21(4):404-6. PubMed PMID: 16128342.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acinetobacter and Staphylococcus aureus ulcerative keratitis after laser in situ keratomileusis treated with antibiotics and phototherapeutic keratectomy. AU - Lindbohm,Nina, AU - Moilanen,Jukka A O, AU - Vesaluoma,Minna H, AU - Tervo,Timo M T, PY - 2005/9/1/pubmed PY - 2005/10/21/medline PY - 2005/9/1/entrez SP - 404 EP - 6 JF - Journal of refractive surgery (Thorofare, N.J. : 1995) JO - J Refract Surg VL - 21 IS - 4 N2 - PURPOSE: To report a method of treatment for through-the-flap multibacterial ulcerative keratitis after laser in situ keratomileusis (LASIK). METHODS: Bacterial ulcerative keratitis after LASIK was treated with topical and systemic antibiotics followed by flap lifting, cleaning, and phototherapeutic keratectomy (PTK). Follow-up examinations included in vivo confocal microscopy, corneal topography, and wavefront analysis. RESULTS: Rapid recovery of the ulcerative keratitis was observed after flap lifting and cleaning of the interface and PTK combined with topical and systemic antibiotics. Two years postoperatively, corneal topography showed a slight depression of the ulcer area and decentration of the photoablation. Wavefront analysis revealed an irregular scan with a pronounced coma-like aberration, which with a wavefront-guided custom test lens correction provided 20/16 visual acuity. CONCLUSIONS: Ulcerative bacterial keratitis is a possible sight-threatening complication of LASIK refractive surgery. Lifting and rinsing the flap combined with cleaning of the flap interface with PTK may be helpful in these conditions when regression of the ulcer does not occur with topical and oral antibiotic treatment. SN - 1081-597X UR - https://www.unboundmedicine.com/medline/citation/16128342/Acinetobacter_and_Staphylococcus_aureus_ulcerative_keratitis_after_laser_in_situ_keratomileusis_treated_with_antibiotics_and_phototherapeutic_keratectomy_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=16128342.ui DB - PRIME DP - Unbound Medicine ER -