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Rhodococcus globerulus keratitis after laser in situ keratomileusis
Osvaldo H Cuello1, M Josefina Caorlin, Victor E Reviglio
1Fundación VER, Correo General, 5000 Córdoba, Argentina.
Journal of Cataract and Refractive Surgery
|December 25, 2002
Summary
A rare Rhodococcus globerulus infection occurred after laser eye surgery. Prompt antibiotic treatment led to good visual recovery in this case of infectious keratitis.
Area of Science:
- Ophthalmology
- Microbiology
- Infectious Diseases
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery procedure.
- Postoperative infectious keratitis is a rare but serious complication following LASIK.
- Early diagnosis and treatment are crucial for visual outcomes.
Observation:
- A 20-year-old woman developed a stromal paraxial lesion 15 days after uneventful bilateral LASIK.
- Symptoms included decreased visual acuity, pain, and photophobia in the right eye.
- Microscopic examination and cultures identified Rhodococcus globerulus as the causative agent.
Findings:
- Rhodococcus globerulus was identified as the infectious agent responsible for keratitis post-LASIK.
- Intensive topical antibiotic therapy was initiated for the infection.
- The patient showed good visual recovery following treatment.
Implications:
- This case highlights the importance of considering rare bacterial pathogens in post-LASIK infectious keratitis.
- Prompt microbiological diagnosis and appropriate antibiotic selection are vital for successful management.
- Adherence to sterile surgical techniques and vigilant postoperative monitoring can help prevent such complications.