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Infectious keratitis in 18,651 laser surface ablation procedures.

Victoria de Rojas1, Fernando Llovet, Mercedes Martínez

  • 1Clinica Baviera, Instituto Oftalmológico Europeo, Spain. derojas.v@gmail.com

Journal of Cataract and Refractive Surgery
|August 26, 2011
PubMed
Summary

Infectious keratitis after surface ablation occurred in 0.20% of patients. Prompt treatment with antibiotics preserved useful vision in most cases, highlighting the importance of aggressive management for this vision-threatening complication.

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Infectious Diseases

Background:

  • Surface ablation is a common refractive surgical procedure.
  • Infectious keratitis is a rare but serious complication following ocular surgery.
  • Understanding the incidence and outcomes of infectious keratitis post-surface ablation is crucial for patient safety.

Purpose of the Study:

  • To determine the incidence of infectious keratitis after surface ablation.
  • To identify risk factors, culture results, and treatment strategies for this complication.
  • To evaluate the visual outcomes in patients who developed infectious keratitis post-surface ablation.

Main Methods:

  • A multicenter case series study was conducted in Spain.
  • Medical records of 9794 patients (18,651 eyes) who underwent surface ablation between 2003 and 2009 were reviewed.

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  • Data collected included incidence, risk factors, clinical course, diagnosis time, treatment, and visual acuity.

    • Main Results:

    • Infectious keratitis was diagnosed in 39 eyes (0.20% incidence).
    • Most infections (71.79%) occurred within 7 days post-surgery, with Staphylococcus species being the most common pathogen.
    • Final corrected distance visual acuity was 20/40 or better in 92.30% of affected eyes.

    Conclusions:

    • The incidence of infectious keratitis after surface ablation is low but significant.
    • Early diagnosis and aggressive management with fortified antibiotics are essential.
    • Effective treatment can preserve useful vision in the majority of patients.