Infectious keratitis after laser epithelial keratomileusis.
OBJECTIVE
To report two cases of infectious keratitis occurring after laser epithelial keratomileusis (LASEK).


METHODS
Two patients who underwent LASEK were referred to our center for the management of postoperative infectious keratitis. Infection occurred on postoperative days 2 (case 1) and 5 (case 2). Presenting visual acuity was count fingers in both cases.


RESULTS
Patients were treated aggressively with hourly topical broad-spectrum fortified antibiotics after corneal scrapings were obtained. Culture was positive for Staphylococcus aureus in case 2. Both eyes responded to treatment, resulting in residual corneal scarring with reduced best spectacle-corrected visual acuity of 20/40 in case 1 and uncorrected visual acuity of 20/25 in case 2.


CONCLUSIONS
Infectious keratitis can occur after LASEK surgery, and early diagnosis and aggressive therapy are required to aser ereduce visual loss.
Parthasarathy
Anand
A
Singapore National Eye Centre, Singapore.
Theng
Julian
J
Ti
Seng-Ei
SE
Tan
Donald T H
DT
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003320:Corneal Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D049008:Keratectomy, Subepithelial, Laser-Assisted / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents