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Infectious keratitis after laser epithelial keratomileusis.

Anand Parthasarathy¹, Julian Theng, Seng-Ei Ti

¹Singapore National Eye Centre, Singapore.

Journal of Refractive Surgery (Thorofare, N.J. : 1995)

|November 8, 2007

Summary

Infectious keratitis can occur after laser epithelial keratomileusis (LASEK) surgery. Early diagnosis and aggressive antibiotic treatment are crucial to prevent vision loss from this serious complication.

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Area of Science:

Ophthalmology
Corneal Surgery
Infectious Diseases

Background:

Laser epithelial keratomileusis (LASEK) is a refractive surgical procedure.
Postoperative complications, including infectious keratitis, can arise after LASEK.

Observation:

Two cases of infectious keratitis developed within the first week after LASEK.
Presenting visual acuity was severely impaired (count fingers) in both patients.

Findings:

Infectious keratitis was treated with hourly topical fortified antibiotics.
Staphylococcus aureus was identified in one case.
Both patients experienced residual corneal scarring and reduced visual acuity despite treatment.

Implications:

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Infectious keratitis is a potential risk following LASEK.

Prompt diagnosis and aggressive antimicrobial therapy are essential for managing post-LASEK infectious keratitis.

Timely intervention may mitigate, but not always prevent, visual impairment.