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Infectious keratitis in 204 586 LASIK procedures.

Fernando Llovet1, Victoria de Rojas, Emanuela Interlandi

  • 1The Clinica Baviera, Instituto Oftalmológico Europeo, Spain.

Ophthalmology
|December 17, 2009
PubMed
Summary

Infectious keratitis after laser-assisted in situ keratomileusis (LASIK) occurred in 0.035% of procedures. Prompt treatment, including flap lifting and antibiotics, can preserve vision in most cases.

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Area of Science:

  • Ophthalmology
  • Microbiology

Background:

  • Laser-assisted in situ keratomileusis (LASIK) is a common refractive surgery procedure.
  • Infectious keratitis is a rare but serious complication following LASIK.
  • Understanding the incidence, risk factors, and outcomes of post-LASIK infectious keratitis is crucial for patient care.

Purpose of the Study:

  • To determine the incidence of infectious keratitis after LASIK.
  • To identify risk factors and common causative microorganisms.
  • To evaluate treatment strategies and visual outcomes.

Main Methods:

  • Retrospective study of 107,613 patients (204,586 eyes) who underwent LASIK.
  • Medical records were reviewed to identify cases of infectious keratitis.
  • Data collected included incidence, onset, culture results, treatment, and visual acuity.

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Main Results:

  • Infectious keratitis was diagnosed in 72 eyes (0.035% incidence).
  • Most infections (62.5%) occurred within 7 days post-surgery.
  • Staphylococcus epidermidis was the most common pathogen; 93.05% of patients achieved visual acuity >=20/40.

Conclusions:

  • Post-LASIK infectious keratitis is a vision-threatening complication.
  • Early diagnosis and aggressive management, including flap lifting and antibiotic irrigation, are recommended.
  • Effective management can lead to the preservation of useful vision.