title: Methicillin-resistant Staphylococcus aureus ulcerative keratitis after laser in situ keratomileusis.
abstract: We report the first case of methicillin-resistant Staphylococcus aureus (MRSA) ulcerative keratitis after routine bilateral laser in situ keratomileusis. Within 24 hours of initial ulceration the lamellar flap melted, disintegrating into necrotic fragments. Recognition of lamellar flap infections followed by immediate medical and surgical management is critical to preserving vision.
authors.affiliation: Department of Ophthalmology, Washington National Eye Center, Washington, DC, USA.
authors.forename: R S
authors.initials: RS
authors.lastname: Rubinfeld
authors.forename: G J
authors.initials: GJ
authors.lastname: Negvesky
mesh_terms: D003319:Corneal Stroma / Q000382:microbiology / Q000473:pathology; D003320:Corneal Ulcer / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008712:Methicillin / Q000627:therapeutic use; D016106:Methicillin Resistance; D008875:Middle Aged; D009336:Necrosis; D010406:Penicillins / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology
chemical_list: D010406:Penicillins; D008712:Methicillin