Infection after radial keratotomy.
OBJECTIVE
Eight years after eight-incision radial keratotomy, a corneal ulcer developed around the inferotemporal incision in an otherwise healthy 39-year-old man. There was no history of corneal trauma or contact lens wear.


CONCLUSIONS
Both Fusarium and Acanthamoeba organisms were eventually isolated from the ulcer. A therapeutic keratoplasty was performed. Inferotemporal incisions may be predisposed to epithelial breakdown and infection many years after radial keratotomy.
Gussler
J R
JR
Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, FL 33101, USA.
Miller
D
D
Jaffe
M
M
Alfonso
E C
EC
D000048:Acanthamoeba / Q000302:isolation & purification; D015823:Acanthamoeba Keratitis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D000328:Adult; D000818:Animals; D003315:Cornea / Q000382:microbiology / Q000469:parasitology / Q000473:pathology; D003320:Corneal Ulcer / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D015821:Eye Infections, Fungal / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005670:Fusarium / Q000302:isolation & purification; D006801:Humans; D015948:Keratoplasty, Penetrating; D007646:Keratotomy, Radial; D008297:Male; D009181:Mycoses / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications