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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
PubMed
Abstract

Insights

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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