Delayed microbial keratitis following radial keratotomy.
BACKGROUND
We report on the case of a 46-year-old female who presented with delayed microbial keratitis 10 years after uncomplicated radial keratotomy.


METHODS
The pre- and postoperative clinical record was reviewed following her presentation to the Corneal Clinic. Slit-lamp examination revealed a stromal inflammatory infiltrate at the site of an earlier radial keratotomy incision. The lesion was scraped and a coagulase-negative Staphylococcus aureus was cultured in enrichment broth.


RESULTS
The keratitis was treated successfully with combination fortified topical antibiotics without loss of vision.


CONCLUSIONS
Although microbial keratitis is a well documented complication of incisional refractive procedures, it is rarely encountered as late as one decade after surgery. Patients should be warned of this possibility and the need for prompt treatment.
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University of Melbourne Department of Ophthalmology, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia.
Snibson
G R
GR
D000287:Administration, Topical; D000900:Anti-Bacterial Agents; D003315:Cornea / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007634:Keratitis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D007646:Keratotomy, Radial / Q000009:adverse effects*; D008875:Middle Aged; D009883:Ophthalmic Solutions; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014792:Visual Acuity
D000900:Anti-Bacterial Agents; D009883:Ophthalmic Solutions