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Delayed-onset multifocal polymicrobial keratitis after laser in situ keratomileusis
David Ritterband1, James Kelly, Tara McNamara
1Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, New York, USA. ritterband@msn.com
Journal of Cataract and Refractive Surgery
|April 30, 2002
Summary
A rare case of delayed fungal keratitis (Aspergillus fumigatus) after laser in situ keratomileusis (LASIK) is presented. Prompt diagnosis and antifungal treatment led to successful visual recovery.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Complications, though rare, can occur post-LASIK.
Observation:
- A 43-year-old male presented with eye discomfort and swelling 20 days post-LASIK.
- Clinical examination revealed two distinct corneal infiltrates under the LASIK flap.
Findings:
- Initial cultures showed mixed infection; repeat cultures identified Aspergillus fumigatus.
- Treatment with topical natamycin and amphotericin resolved the fungal keratitis.
Implications:
- Delayed-onset multifocal keratitis is a rare LASIK complication.
- Fungal infections should be considered in post-LASIK keratitis differential diagnosis.