Methicillin-resistant Staphylococcus aureus keratitis after laser in situ keratomileusis.
A 50-year-old man had uneventful bilateral laser in situ keratomileusis (LASIK) for moderate myopia (-4.50 diopters sphere, both eyes). Twelve days postoperatively, he developed unilateral bacterial keratitis. Cultures revealed methicillin-resistant Staphylococcus aureus. The antibiotic regimen was adjusted, and he regained an uncorrected visual acuity of 20/40 and a best spectacle-corrected visual acuity (BSCVA) of 20/15. Bacterial keratitis after LASIK is a rare occurrence. Aggressive use of cultures and fortified antibiotics can prevent significant loss of BSCVA, even when a resistant organism is the cause.
Eye Physicians of Olympia, Olympia, Washington, USA.
J C
JC
Rudd
M
M
Moshirfar
D019781:Corneal Topography; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D008712:Methicillin / Q000627:therapeutic use; D016106:Methicillin Resistance; D008875:Middle Aged; D009216:Myopia / Q000601:surgery; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D014792:Visual Acuity
D008712:Methicillin