Early bacterial keratitis after presbyopic LASIK.
OBJECTIVE
To report an unusual case of infectious keratitis that occurred after presbyopic laser-assisted in situ keratomileusis (LASIK).


METHODS
A 57-year-old woman presented with decreased visual acuity and pain in her right eye 2 days after a bilateral presbyopic LASIK procedure. Slit-lamp examination showed a large corneal infiltrate surrounded by marked corneal inflammation. Corneal scraping grew Propionibacterium acnes.


RESULTS
Under topical and systemic antibiotic treatment, the infiltrate slowly resolved. Visual acuity improved from counting fingers at presentation to 20/30 after 8 months of follow-up.


CONCLUSIONS
To the best of our knowledge, this is the first description of a P. acnes infection after LASIK and the first case of infection complicating a presbyopic LASIK procedure. Although infectious keratitis occurs rarely after refractive surgery, patients should be informed of the potential risk of visual loss caused by such infections.
Semoun
Oudy
O
Department of Ophthalmology 5, Quinze-Vingts National Center of Ophthalmology, Paris, France.
Bourcier
Tristan
T
Dupas
Bénédicte
B
Puech
Michel
M
Maftouhi
Adil El
AE
Borderie
Vincent
V
Laroche
Laurent
L
D000284:Administration, Oral; D000287:Administration, Topical; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage; D001372:Aza Compounds / Q000008:administration & dosage; D001414:Bacitracin / Q000008:administration & dosage; D003315:Cornea / Q000382:microbiology; D003320:Corneal Ulcer / Q000188:drug therapy / Q000209:etiology*; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D024841:Fluoroquinolones; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D018613:Microscopy, Confocal; D008875:Middle Aged; D000077266:Moxifloxacin; D010149:Postoperative Pain / Q000209:etiology; D011305:Presbyopia / Q000601:surgery*; D011425:Propionibacterium acnes / Q000302:isolation & purification*; D011804:Quinolines / Q000008:administration & dosage; D014792:Visual Acuity
D000891:Anti-Infective Agents, Local; D001372:Aza Compounds; D024841:Fluoroquinolones; D011804:Quinolines; D001414:Bacitracin; D000077266:Moxifloxacin