Bacterial keratitis following laser in situ keratomileusis for hyperopia.
A 42-year-old Bahraini man had uneventful laser in situ keratomileusis for hyperopia (OD: +3.00 +0.75 x 155 degrees; OS: +2.00 +0.50 x 155 degrees). Three weeks later, he presented with localized keratitis in his right eye, with localized keratitis at the flap margin with stromal edema. Uncorrected visual acuity was 20/80 OD with no improvement with pinhole, and was 20/20 OS. Corneal smear culture showed a positive growth of Staphylococcus aureus. The patient was immediately treated with subconjunctival gentamicin and intensive topical ofloxacin 0.3% with systemic cephalosporin. The patient recovered from keratitis within 2 weeks and his uncorrected visual acuity OD improved to 20/20. Keratitis following LASIK should be treated promptly so that it does not lead to permanent reduction in visual acuity.
al-Reefy
M
M
Eye and Laser Center, Military Hospital, Rifaa, Bahrain.
D000328:Adult; D000900:Anti-Bacterial Agents; D003315:Cornea / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D016039:Corneal Transplantation / Q000009:adverse effects*; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D005500:Follow-Up Studies; D006801:Humans; D006956:Hyperopia / Q000382:microbiology / Q000601:surgery*; D007634:Keratitis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D053685:Laser Therapy / Q000009:adverse effects*; D008297:Male; D009883:Ophthalmic Solutions; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D014792:Visual Acuity
D000900:Anti-Bacterial Agents; D009883:Ophthalmic Solutions