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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.
Purpose Of Review:
To review new clinically relevant data regarding the prevention cause and treatment of laser in-situ keratomileusis (LASIK) infections.
Recent Findings:
Many recent studies of post-LASIK infectious keratitis show the predominance of atypical mycobacteria and Gram-positive cocci and the growing number of other rare pathogens. The American Society of Cataract and Refractive Surgery White Paper treatment paradigm remains the model for initial treatment of LASIK-associated infectious keratitis.
Summary:
Improved understanding of the risk factor, different causes, along with a high degree of suspicion on initial presentation is crucial in order to provide the appropriate management in LASIK-associated infectious keratitis.
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.
