title: Endophthalmitis after radial keratotomy enhancement.
abstract: A 45-year-old man developed endophthalmitis after a radial keratotomy (RK) enhancement. He developed severe intraocular inflammation, hypopyon, and dense vitreous membranes 4 days after the enhancement surgery. Cultures of the corneal wound yielded a heavy growth of Streptococcus viridans. The inflammation subsided after treatment with intraocular, intravenous, and topical antibiotics. The patient subsequently developed a cataract and retinal detachment. This case demonstrates the risk of endophthalmitis after RK enhancement.
authors.affiliation: Department of Ophthalmology, Straith Memorial Hospital, Southfield, Michigan 48034, USA.
authors.forename: D G
authors.initials: DG
authors.lastname: Heidemann
authors.forename: S P
authors.initials: SP
authors.lastname: Dunn
authors.forename: M
authors.initials: M
authors.lastname: Haimann
mesh_terms: D000867:Anterior Chamber / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D000900:Anti-Bacterial Agents; D001251:Astigmatism / Q000601:surgery; D002386:Cataract / Q000209:etiology; D004333:Drug Administration Routes; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use; D009877:Endophthalmitis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007646:Keratotomy, Radial / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000209:etiology; D013290:Streptococcal Infections / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D013291:Streptococcus / Q000302:isolation & purification; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000209:etiology / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents