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Infectious keratitis after laser refractive surgery
G A Kouyoumdjian1, S L Forstot, V D Durairaj
1Department of Ophthalmology, University of Colorado Health Sciences Center, Denver, Colorado 80262, USA.
Purpose:
To report two cases of infectious keratitis, one fungal after photorefractive keratectomy (PRK) and the other bacterial after laser in situ keratomileusis (LASIK).
Design:
Two interventional case reports.
Participants:
Case 1 is a male who was seen 3 weeks after PRK with a corneal ulceration. Case 2 involves a female who was seen 7 weeks after LASIK with interface granularity.
Results:
Cultures in case 1 were identified as Scopulariopsis species, and despite intensive treatment, a therapeutic penetrating keratoplasty (PK) was eventually performed. Case 2 had cultures identified as Mycobacterium chelonae and also ultimately required a therapeutic PK.
Conclusions:
Two unusual infectious keratitides are reported after different laser refractive surgery techniques.
