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Acremonium fungal infection in 4 patients after laser in situ keratomileusis

José F Alfonso1, M Begoña Baamonde, M Jesús Santos

  • 1Instituto Oftalmológico Dres Fernández-Vega, Oviedo, Asturias, Spain. j.alfonso@fernandez-vega.com

Journal of Cataract and Refractive Surgery
|February 18, 2004
PubMed

Insights

Four patients developed Acremonium fungal keratitis after laser eye surgery. Strict sterile techniques during laser in situ keratomileusis (LASIK) are crucial to prevent this severe infection.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Laser in situ keratomileusis (LASIK) is a common refractive surgery.
  • Infectious keratitis is a potential complication following corneal procedures.
  • Fungal infections can cause severe corneal damage.

Observation:

  • Four patients presented with infectious keratitis post-LASIK.
  • All LASIK procedures were performed in the same operating room.
  • Acremonium species fungus was identified in all affected corneas.

Findings:

  • Acremonium fungal keratitis occurred in four patients following LASIK.
  • Partial penetrating keratoplasty was required to manage the infection.
  • The specific fungal species identified was Acremonium.

Implications:

  • Highlights the risk of fungal keratitis after LASIK.
  • Emphasizes the critical importance of maintaining rigid aseptic techniques during ophthalmic surgery.
  • Suggests potential for nosocomial transmission in shared surgical environments.

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