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Bilateral infectious keratitis after small-incision lenticule extraction
Ismaël Chehaibou1, Otman Sandali1, Barbara Ameline1
1From Quinze-Vingts National Eye Hospital, UPMC - Sorbonne Universities, Paris, France.
Journal of Cataract and Refractive Surgery
|April 27, 2016
Summary
Severe bilateral infectious keratitis occurred after small-incision lenticule extraction. Prompt treatment with antibiotics and corticosteroids successfully managed the infection, restoring vision.
Area of Science:
- Ophthalmology
- Microbiology
Background:
- Small-incision lenticule extraction (SMILE) is a refractive surgery procedure.
- Infectious keratitis is a serious complication that can affect vision.
Observation:
- A 39-year-old male developed severe bilateral infectious keratitis two days post-SMILE.
- Symptoms included decreased vision, photophobia, and pain.
- Corneal infiltrates were observed at the cap-stromal bed interface.
Findings:
- Cultures identified Streptococcus pneumoniae as the causative agent.
- Initial treatment involved rinsing with povidone-iodine and vancomycin, followed by fortified antibiotic eyedrops.
- Corticosteroid eyedrops were initiated after infection control.
Implications:
- Early diagnosis and aggressive management are crucial for treating post-SMILE infectious keratitis.
- Successful treatment can lead to significant visual recovery.
- This case highlights the importance of monitoring for infectious complications after refractive surgery.
