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Acanthamoeba keratitis after LASIK.

Ramamurthy Balasubramanya1, Prashant Garg, Savitri Sharma

  • 1Cornea & Anterior Segment Service, L. V. Prasad Eye Institute, Hyderabad, India.

Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|June 30, 2006
PubMed
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Acanthamoeba infection can occur after Laser Assisted In Situ Keratomileusis (LASIK). Early diagnosis through microbiologic evaluation is crucial for treating this serious complication.

Area of Science:

  • Ophthalmology
  • Microbiology

Background:

  • Laser Assisted In Situ Keratomileusis (LASIK) is a common refractive surgery.
  • Corneal infections are a potential complication following LASIK.

Observation:

  • A 20-year-old woman presented with pain, redness, and decreased vision post-LASIK.
  • Examination revealed a significant corneal infiltrate with satellite lesions.

Findings:

  • Microscopic and histopathologic examination confirmed Acanthamoeba infection.
  • Acanthamoeba cysts were identified in corneal scrapings and excised flap tissue.

Implications:

  • LASIK surgery carries a risk of Acanthamoeba keratitis.
  • Prompt microbiologic evaluation is vital for accurate diagnosis and effective treatment of post-LASIK Acanthamoeba infections.

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