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Delayed-onset Actinomyces keratitis after laser in situ keratomileusis.
Cornea. 2008 Aug; 27(7):843-6.C

Abstract

PURPOSE

To present a case of delayed-onset unilateral keratitis caused by Actinomyces israelii after laser in situ keratomileusis (LASIK).

METHODS

A 28-year-old woman was referred to our clinic because of foreign-body sensation and mild blurred vision in her left eye. She had bilateral simultaneous LASIK approximately 5 months ago. On slit-lamp examination, there was an area of infiltration in the corneal interface. The LASIK flap was elevated, and the involved area was scraped and irrigated with antibiotic solutions.

RESULTS

Culture and smear showed A. israelii as a causative agent, and the keratitis was successfully treated by antibiotics chosen according to antibiotic sensitivity test.

CONCLUSIONS

Actinomyces israelii must be considered in differential diagnosis of delayed-onset microbial keratitis after LASIK. Flap elevation, scraping, and irrigating the involved area can be helpful to obtain specimens for culture and smear and to control infection.

Authors+Show Affiliations

Ophthalmic Research Center, Labbafinejad Medical Center, Shaheed Beheshti Medical University, Tehran, Iran. karimianf@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18650675

Citation

Karimian, Farid, et al. "Delayed-onset Actinomyces Keratitis After Laser in Situ Keratomileusis." Cornea, vol. 27, no. 7, 2008, pp. 843-6.
Karimian F, Feizi S, Nazari R, et al. Delayed-onset Actinomyces keratitis after laser in situ keratomileusis. Cornea. 2008;27(7):843-6.
Karimian, F., Feizi, S., Nazari, R., & Zarin-Bakhsh, P. (2008). Delayed-onset Actinomyces keratitis after laser in situ keratomileusis. Cornea, 27(7), 843-6. https://doi.org/10.1097/ICO.0b013e31816a624a
Karimian F, et al. Delayed-onset Actinomyces Keratitis After Laser in Situ Keratomileusis. Cornea. 2008;27(7):843-6. PubMed PMID: 18650675.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Delayed-onset Actinomyces keratitis after laser in situ keratomileusis. AU - Karimian,Farid, AU - Feizi,Sepehr, AU - Nazari,Roshanak, AU - Zarin-Bakhsh,Parviz, PY - 2008/7/25/pubmed PY - 2008/8/22/medline PY - 2008/7/25/entrez SP - 843 EP - 6 JF - Cornea JO - Cornea VL - 27 IS - 7 N2 - PURPOSE: To present a case of delayed-onset unilateral keratitis caused by Actinomyces israelii after laser in situ keratomileusis (LASIK). METHODS: A 28-year-old woman was referred to our clinic because of foreign-body sensation and mild blurred vision in her left eye. She had bilateral simultaneous LASIK approximately 5 months ago. On slit-lamp examination, there was an area of infiltration in the corneal interface. The LASIK flap was elevated, and the involved area was scraped and irrigated with antibiotic solutions. RESULTS: Culture and smear showed A. israelii as a causative agent, and the keratitis was successfully treated by antibiotics chosen according to antibiotic sensitivity test. CONCLUSIONS: Actinomyces israelii must be considered in differential diagnosis of delayed-onset microbial keratitis after LASIK. Flap elevation, scraping, and irrigating the involved area can be helpful to obtain specimens for culture and smear and to control infection. SN - 1536-4798 UR - https://www.unboundmedicine.com/medline/citation/18650675/Delayed_onset_Actinomyces_keratitis_after_laser_in_situ_keratomileusis_ L2 - https://doi.org/10.1097/ICO.0b013e31816a624a DB - PRIME DP - Unbound Medicine ER -