Infectious post-LASIK crystalline keratopathy caused by nontuberculous mycobacteria.
OBJECTIVE
To report three cases of infectious crystalline keratopathy caused by non-tuberculous mycobacteria after LASIK surgery.


METHODS
Interventional case reports and literature review.


RESULTS
Infectious keratitis with clinical features of crystalline keratopathy after LASIK is described. Culture revealed Mycobacterium chelonae from the corneal scrapings of the three patients, all of whom underwent medical and surgical (debridement) treatment.


CONCLUSIONS
Mycobacteria may cause infectious crystalline keratopathy after LASIK. The presence of crystalline keratopathy in patients that underwent LASIK must be considered an indicator of nontuberculous mycobacteria infection. Microbiologic work-up of a corneal specimen is required for the institution of appropriate therapy.
Alvarenga
Lênio
L
Department of Ophthalmology, Paulista School of Medicine, Federal University of São Paulo, Brazil. alvarenga@oftalmo.epm.br
Freitas
Denise
D
Hofling-Lima
Ana Luísa
AL
Belfort
Rubens
R
Sampaio
Jorge
J
Sousa
Luciene
L
Yu
Maria
M
Mannis
Mark
M
D000328:Adult; D000900:Anti-Bacterial Agents; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D008826:Microbial Sensitivity Tests; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D016926:Mycobacterium chelonae / Q000302:isolation & purification*; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents