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Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile
Published on: September 20, 2024
Early bacterial keratitis after presbyopic LASIK
Oudy Semoun1, Tristan Bourcier, Bénédicte Dupas
1Department of Ophthalmology 5, Quinze-Vingts National Center of Ophthalmology, Paris, France.
Cornea
|February 5, 2008
Summary
A rare case of Propionibacterium acnes infection, a type of infectious keratitis, occurred after presbyopic laser-assisted in situ keratomileusis (LASIK) surgery. Prompt antibiotic treatment led to visual recovery, highlighting the importance of informing patients about potential risks.
Area of Science:
- Ophthalmology
- Microbiology
Background:
- Presbyopic laser-assisted in situ keratomileusis (LASIK) is a common refractive surgery procedure.
- Infectious keratitis is a rare but serious complication following ocular surgery.
Observation:
- A 57-year-old woman developed infectious keratitis with decreased visual acuity and pain two days post-LASIK.
- Examination revealed a significant corneal infiltrate and inflammation, with Propionibacterium acnes identified on corneal scraping.
Findings:
- The patient's corneal infiltrate resolved with topical and systemic antibiotic therapy.
- Visual acuity improved from counting fingers to 20/30 over an eight-month follow-up period.
Implications:
- This is the first reported case of P. acnes infection after LASIK and specifically after presbyopic LASIK.
- Patients undergoing refractive surgery should be counseled on the rare but significant risk of infectious keratitis and potential vision loss.
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