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Methicillin-resistant Staphylococcus aureus infectious keratitis following refractive surgery
Renée Solomon1, Eric D Donnenfeld, Henry D Perry
1Ophthalmic Consultants of Long Island, Rockville Centre, New York 11570, USA.
American Journal of Ophthalmology
|February 27, 2007
Summary
Methicillin-resistant Staphylococcus aureus (MRSA) infectious keratitis is a serious complication following refractive surgery, particularly in healthcare workers. Early detection and treatment are crucial for visual recovery.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Surgical Complications
Background:
- Refractive surgery is a common procedure, but carries risks including infectious keratitis.
- Methicillin-resistant Staphylococcus aureus (MRSA) is a significant pathogen in healthcare-associated infections.
Observation:
- This study reviewed 13 cases of MRSA keratitis post-refractive surgery.
- Nine patients had healthcare or hospital exposure; some cases occurred without known exposure.
- Symptoms included decreased visual acuity, pain, and characteristic slit-lamp findings.
Findings:
- All cases were culture-proven MRSA keratitis.
- MRSA keratitis is an increasing complication, even in patients without direct healthcare exposure.
- This is the first case series on MRSA keratitis following refractive surgery, including LASIK enhancement and prophylaxis with fluoroquinolones.
Implications:
- Healthcare workers are at increased risk for MRSA keratitis after refractive surgery.
- Surgeons must be vigilant for community-acquired MRSA in post-refractive surgery patients.
- Prompt diagnosis, culturing, and appropriate antibiotic treatment are vital for visual outcomes.
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