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Infectious keratitis after laser epithelial keratomileusis.
J Refract Surg. 2007 Oct; 23(8):832-5.JR

Abstract

PURPOSE

To report two cases of infectious keratitis occurring after laser epithelial keratomileusis (LASEK).

METHODS

Two patients who underwent LASEK were referred to our center for the management of postoperative infectious keratitis. Infection occurred on postoperative days 2 (case 1) and 5 (case 2). Presenting visual acuity was count fingers in both cases.

RESULTS

Patients were treated aggressively with hourly topical broad-spectrum fortified antibiotics after corneal scrapings were obtained. Culture was positive for Staphylococcus aureus in case 2. Both eyes responded to treatment, resulting in residual corneal scarring with reduced best spectacle-corrected visual acuity of 20/40 in case 1 and uncorrected visual acuity of 20/25 in case 2.

CONCLUSIONS

Infectious keratitis can occur after LASEK surgery, and early diagnosis and aggressive therapy are required to aser ereduce visual loss.

Authors+Show Affiliations

Singapore National Eye Centre, Singapore.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17985806

Citation

Parthasarathy, Anand, et al. "Infectious Keratitis After Laser Epithelial Keratomileusis." Journal of Refractive Surgery (Thorofare, N.J. : 1995), vol. 23, no. 8, 2007, pp. 832-5.
Parthasarathy A, Theng J, Ti SE, et al. Infectious keratitis after laser epithelial keratomileusis. J Refract Surg. 2007;23(8):832-5.
Parthasarathy, A., Theng, J., Ti, S. E., & Tan, D. T. (2007). Infectious keratitis after laser epithelial keratomileusis. Journal of Refractive Surgery (Thorofare, N.J. : 1995), 23(8), 832-5.
Parthasarathy A, et al. Infectious Keratitis After Laser Epithelial Keratomileusis. J Refract Surg. 2007;23(8):832-5. PubMed PMID: 17985806.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infectious keratitis after laser epithelial keratomileusis. AU - Parthasarathy,Anand, AU - Theng,Julian, AU - Ti,Seng-Ei, AU - Tan,Donald T H, PY - 2007/11/8/pubmed PY - 2007/12/7/medline PY - 2007/11/8/entrez SP - 832 EP - 5 JF - Journal of refractive surgery (Thorofare, N.J. : 1995) JO - J Refract Surg VL - 23 IS - 8 N2 - PURPOSE: To report two cases of infectious keratitis occurring after laser epithelial keratomileusis (LASEK). METHODS: Two patients who underwent LASEK were referred to our center for the management of postoperative infectious keratitis. Infection occurred on postoperative days 2 (case 1) and 5 (case 2). Presenting visual acuity was count fingers in both cases. RESULTS: Patients were treated aggressively with hourly topical broad-spectrum fortified antibiotics after corneal scrapings were obtained. Culture was positive for Staphylococcus aureus in case 2. Both eyes responded to treatment, resulting in residual corneal scarring with reduced best spectacle-corrected visual acuity of 20/40 in case 1 and uncorrected visual acuity of 20/25 in case 2. CONCLUSIONS: Infectious keratitis can occur after LASEK surgery, and early diagnosis and aggressive therapy are required to aser ereduce visual loss. SN - 1081-597X UR - https://www.unboundmedicine.com/medline/citation/17985806/Infectious_keratitis_after_laser_epithelial_keratomileusis_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=17985806.ui DB - PRIME DP - Unbound Medicine ER -