Delayed-onset Pseudomonas keratitis after radial keratotomy.
A 62-year-old man had nonsimultaneous, four-incision radial and astigmatic keratotomy in both eyes. Both surgeries were uneventful. Twenty-one months later, the patient developed a corneal ulcer within one of the radial incisions in the left eye. Cultures were positive for Pseudomonas. Although Pseudomonas infections in post-RK eyes have been reported, late-onset Pseudomonas keratitis in a patient with four radial incisions and no history of contact lens wear is contrary to previous reports.
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JA
Horizon Eye Care Group, Lancaster, Pennsylvania 17603, USA.
D000284:Administration, Oral; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001251:Astigmatism / Q000601:surgery; D003315:Cornea / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D003320:Corneal Ulcer / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D004318:Doxycycline / Q000008:administration & dosage / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007646:Keratotomy, Radial / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D015242:Ofloxacin / Q000008:administration & dosage / Q000627:therapeutic use; D009883:Ophthalmic Solutions; D011552:Pseudomonas Infections / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D009883:Ophthalmic Solutions; D015242:Ofloxacin; D004318:Doxycycline