Related Experiment Videos
Polymicrobial keratitis after laser in situ keratomileusis.
V Gupta1, T Dada, R B Vajpayee
1Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi.
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|April 20, 2001
Summary
Polymicrobial infectious keratitis, a rare but serious complication, can occur after laser in situ keratomileusis (LASIK) surgery. This case highlights the potential for sight-threatening infections following the procedure.
Area of Science:
- Ophthalmology
- Microbiology
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Complications, though rare, require careful monitoring and management.
Observation:
- A 21-year-old female developed infectious keratitis in one eye post-bilateral LASIK.
- Infective foci yielded Staphylococcus epidermidis, Fusarium solani, and positive herpes simplex virus antigen.
Findings:
- The patient did not respond to initial broad-spectrum antimicrobial therapy.
- Ulcer perforation occurred, necessitating therapeutic keratoplasty.
- Best-corrected visual acuity improved to 20/40 one month post-keratoplasty.
Implications:
- Polymicrobial infectious keratitis is a potential sight-threatening complication of LASIK.
- Early detection and appropriate treatment are crucial for managing post-LASIK infections.
- This case underscores the importance of considering polymicrobial involvement in refractory keratitis cases.