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Achromobacter xylosoxidans keratitis masquerading as recurrent erosion after LASIK.
J Refract Surg. 2013 Nov; 29(11):788-90.JR

Abstract

PURPOSE

To describe the clinical stages and management of Achromobacter xylosoxidans keratitis with post-LASIK epithelial ingrowth in two patients.

METHODS

Retrospective chart review.

RESULTS

Both patients had been treated with topical antibiotics and corticosteroids for several weeks prior to presentation. Examination at presentation revealed significant areas of epithelial ingrowth without signs of acute inflammation, prompting an erroneous initial diagnosis of recurrent corneal erosion. A corneal infiltrate was eventually observed and A. xylosoxidans was cultured from both patients. Clinical resolution occurred with treatment consisting of topical fortified antibiotics. In one patient, the flap was lifted to obtain cultures and irrigate the stromal bed with fortified antibiotics.

CONCLUSIONS

Post-LASIK epithelial ingrowth may have served as a risk factor for A. xylosoxidans infection. Classic signs of infectious keratitis were absent, delaying the diagnosis. Three clinical stages described herein may assist the clinician with diagnosis and customized management obviating the need for penetrating keratoplasty.

Authors

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

24063345

Citation

Riaz, Kamran M., et al. "Achromobacter Xylosoxidans Keratitis Masquerading as Recurrent Erosion After LASIK." Journal of Refractive Surgery (Thorofare, N.J. : 1995), vol. 29, no. 11, 2013, pp. 788-90.
Riaz KM, Feder RS, Srivastava A, et al. Achromobacter xylosoxidans keratitis masquerading as recurrent erosion after LASIK. J Refract Surg. 2013;29(11):788-90.
Riaz, K. M., Feder, R. S., Srivastava, A., Rosin, J., & Basti, S. (2013). Achromobacter xylosoxidans keratitis masquerading as recurrent erosion after LASIK. Journal of Refractive Surgery (Thorofare, N.J. : 1995), 29(11), 788-90. https://doi.org/10.3928/1081597X-20130917-01
Riaz KM, et al. Achromobacter Xylosoxidans Keratitis Masquerading as Recurrent Erosion After LASIK. J Refract Surg. 2013;29(11):788-90. PubMed PMID: 24063345.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Achromobacter xylosoxidans keratitis masquerading as recurrent erosion after LASIK. AU - Riaz,Kamran M, AU - Feder,Robert S, AU - Srivastava,Arth, AU - Rosin,Jonathan, AU - Basti,Surendra, Y1 - 2013/09/24/ PY - 2013/03/24/received PY - 2013/07/18/accepted PY - 2013/9/26/entrez PY - 2013/9/26/pubmed PY - 2014/1/15/medline SP - 788 EP - 90 JF - Journal of refractive surgery (Thorofare, N.J. : 1995) JO - J Refract Surg VL - 29 IS - 11 N2 - PURPOSE: To describe the clinical stages and management of Achromobacter xylosoxidans keratitis with post-LASIK epithelial ingrowth in two patients. METHODS: Retrospective chart review. RESULTS: Both patients had been treated with topical antibiotics and corticosteroids for several weeks prior to presentation. Examination at presentation revealed significant areas of epithelial ingrowth without signs of acute inflammation, prompting an erroneous initial diagnosis of recurrent corneal erosion. A corneal infiltrate was eventually observed and A. xylosoxidans was cultured from both patients. Clinical resolution occurred with treatment consisting of topical fortified antibiotics. In one patient, the flap was lifted to obtain cultures and irrigate the stromal bed with fortified antibiotics. CONCLUSIONS: Post-LASIK epithelial ingrowth may have served as a risk factor for A. xylosoxidans infection. Classic signs of infectious keratitis were absent, delaying the diagnosis. Three clinical stages described herein may assist the clinician with diagnosis and customized management obviating the need for penetrating keratoplasty. SN - 1081-597X UR - https://www.unboundmedicine.com/medline/citation/24063345/Achromobacter_xylosoxidans_keratitis_masquerading_as_recurrent_erosion_after_LASIK_ L2 - https://www.healio.com/doiresolver?doi=10.3928/1081597X-20130917-01 DB - PRIME DP - Unbound Medicine ER -