Fungal keratitis after laser in situ keratomileusis: a case report.
OBJECTIVE
To report a case of fungal keratitis resulting after laser in situ keratomileusis (LASIK).


METHODS
A 38-year-old white man in good health developed a corneal infiltrate with laboratory confirmation of fungal keratitis after LASIK. Corneal scrapings were taken. Silver stain was positive for hyphae. Culture was positive for Curvularia sp. The patient was started on intensive natamycin 5% and amphotericin 0.15% topical therapy.


RESULTS
The patient's keratitis was successfully treated with intensive antifungal therapy.


CONCLUSIONS
Infectious keratitis is a rare but a serious potential complication after LASIK. To our knowledge, no previous case of fungal keratitis after LASIK has been reported. This case emphasizes the importance of surveillance for infection after LASIK.
Chung
M S
MS
Department of Ophthalmology, University of Florida, Gainesville 32610-0284, USA.
Goldstein
M H
MH
Driebe
W T
WT
Schwartz
B
B
D000328:Adult; D000666:Amphotericin B / Q000008:administration & dosage / Q000627:therapeutic use; D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use; D003315:Cornea / Q000382:microbiology / Q000473:pathology; D003320:Corneal Ulcer / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D004359:Drug Therapy, Combination; D015821:Eye Infections, Fungal / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D003904:Mitosporic Fungi / Q000302:isolation & purification*; D009181:Mycoses / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D009216:Myopia / Q000601:surgery; D010866:Natamycin / Q000008:administration & dosage / Q000627:therapeutic use; D009883:Ophthalmic Solutions; D014792:Visual Acuity
D000935:Antifungal Agents; D009883:Ophthalmic Solutions; D000666:Amphotericin B; D010866:Natamycin