Laser in-situ keratomileusis infection: review and update of current practices

Arash Mozayan1, Assumpta Madu, Prabjot Channa

  • 1Department of Ophthalmology, Montefiore Medical Center, The University Hospital for Albert Einstein College of Medicine, Bronx, New York 10467, USA.

Abstract

Insights

This review covers new data on preventing, causing, and treating infections after laser in-situ keratomileusis (LASIK). Early detection and understanding risk factors are key for managing post-LASIK infectious keratitis.

Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Infectious Diseases

Background:

  • Laser in-situ keratomileusis (LASIK) is a common refractive surgery.
  • Infections following LASIK can lead to significant visual impairment.
  • Understanding emerging pathogens and risk factors is crucial for patient outcomes.

Purpose of the Study:

  • To synthesize recent clinical data on LASIK-associated infections.
  • To review current knowledge on prevention, causes, and treatment strategies.
  • To highlight evolving trends in post-LASIK infectious keratitis.

Main Methods:

  • Literature review of recent studies on LASIK infections.
  • Analysis of pathogen prevalence and clinical presentations.
  • Evaluation of current treatment guidelines and recommendations.

Main Results:

  • Recent studies indicate a rise in atypical mycobacteria and Gram-positive cocci as causes of post-LASIK infectious keratitis.
  • Other rare pathogens are increasingly identified.
  • The American Society of Cataract and Refractive Surgery White Paper treatment guidelines remain a standard for initial management.

Conclusions:

  • An improved understanding of risk factors and diverse causes of LASIK infections is essential.
  • A high degree of clinical suspicion is critical for timely diagnosis.
  • Appropriate management of LASIK-associated infectious keratitis relies on prompt and accurate identification of causative agents.

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