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Updated: May 27, 2026
05:46
Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile
Published on: September 20, 2024
[Lasik after corneal ulcer].
S Procházková1, M Netuková, D Klecka
1Ocní oddelení Nemocnice Na Homolce, Praha 5. sylva.prochazkova@homolka.cz
Summary
This case report details the successful treatment of a corneal ulcer caused by Pseudomonas aeruginosa in a contact lens wearer. The patient achieved excellent vision (1.0 bilaterally) after intensive therapy and laser-assisted in situ keratomileusis (LASIK).
Area of Science:
- Ophthalmology
- Microbiology
Background:
- Infectious keratitis, particularly that caused by Pseudomonas aeruginosa, poses a significant threat to vision.
- Contact lens wear is a major risk factor for microbial keratitis.
Observation:
- A 20-year-old female contact lens wearer presented with an acute infectious corneal ulcer in her left eye.
- Initial visual acuity was 0.5 with full correction.
Findings:
- Intensive topical treatment with Tobramycin, Ofloxacin, and Scopolamine was initiated.
- After resolution of the infection, local steroids (Fluorometholone acetate) were used to manage residual stromal haze.
- Laser-assisted in situ keratomileusis (LASIK) was performed for refractive error correction post-stabilization.
Implications:
- Early and intensive therapeutic intervention is crucial for managing Pseudomonas aeruginosa keratitis.
- A multi-step approach involving antimicrobial therapy, anti-inflammatory treatment, and refractive surgery can restore visual acuity.
- This case highlights the successful management of a severe corneal infection and subsequent visual rehabilitation.
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