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Pneumococcal keratitis after laser in situ keratomileusis
1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Journal of Cataract and Refractive Surgery
|March 14, 2000
Summary
Bacterial keratitis can occur after laser in situ keratomileusis (LASIK) due to poor hygiene. Prompt treatment with antibiotic eyedrops resolved a case of Streptococcus pneumoniae keratitis.
Area of Science:
- Ophthalmology
- Microbiology
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Maintaining proper eye hygiene post-LASIK is crucial for preventing complications.
Observation:
- A 20-year-old male presented with keratitis in his right eye two days post-LASIK.
- Symptoms began after rubbing his eye with unclean fingers.
- Clinical examination revealed an inferior corneal ulcer with hypopyon and dense infiltration.
Findings:
- Culture results identified Streptococcus pneumoniae as the causative agent.
- The patient's keratitis resolved successfully with a combination of cephazolin 5% and tobramycin 1.3% eyedrops.
Implications:
- This case highlights the risk of bacterial keratitis following LASIK.
- Emphasizes the importance of instructing patients on rigorous eye hygiene protocols after LASIK surgery to prevent microbial infections.