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Staphylococcal infection under a LASIK flap
S K Webber1, M A Lawless, G L Sutton
1Sydney Refractive Surgery Centre, Chatswood, NSW, Australia.
Cornea
|May 21, 1999
Summary
This case report details a staphylococcal infection under a laser in situ keratomileusis (LASIK) flap. Prompt diagnosis and intensive antibiotic treatment, including corneal scraping, successfully resolved the infection and preserved visual acuity.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Infections under the LASIK flap are rare but serious complications.
Observation:
- A patient developed recurrent Staphylococcus aureus abscesses under a LASIK flap.
- Initial antibiotic treatment led to temporary improvement followed by recurrence.
Findings:
- Corneal scraping identified Staphylococcus aureus.
- Intensive antibiotic therapy and surgical intervention were required for resolution.
- Excellent visual acuity was restored post-treatment.
Implications:
- Highlights the importance of prompt diagnosis and aggressive management of LASIK flap infections.
- Emphasizes the role of corneal scraping and antibiotic prophylaxis in preventing recurrence.
- Provides insights into managing this rare but potentially sight-threatening complication.
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