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Infections after refractive surgery

Zeeshan Haq1, Asim V Farooq, Andrew J W Huang

  • 1aPritzker School of Medicine, University of Chicago, Chicago, Illinois bDepartment of Ophthalmology and Visual Sciences, Washington University in St. Louis, St. Louis, Missouri, USA.

Current Opinion in Ophthalmology
|May 4, 2016
PubMed
Abstract

Insights

Infections after refractive surgery are decreasing, with new treatments like corneal collagen cross-linking emerging. Careful monitoring is crucial for preventing rare but serious complications like endophthalmitis.

Area of Science:

  • Ophthalmology
  • Surgical Infections

Background:

  • Refractive surgery encompasses various procedures to correct vision.
  • Postoperative infections remain a concern, necessitating ongoing research and risk assessment.

Purpose of the Study:

  • To summarize recent literature on infections following different types of refractive surgery.
  • To identify trends, pathogens, and emerging management strategies for postoperative infections.

Main Methods:

  • Literature review of recent studies and case reports.
  • Analysis of infection incidence, causative agents, and treatment outcomes across procedure categories.

Main Results:

  • Incidence of infectious keratitis after laser-assisted in-situ keratomileusis (LASIK) is declining.
  • Viral, fungal, and Acanthamoeba pathogens are reported; corneal collagen cross-linking shows promise for early post-LASIK infections.
  • Bandage contact lenses in surface ablation may increase infection risk, particularly in high-exposure individuals.
  • Femtosecond laser astigmatic keratotomy carries risks of infectious keratitis and endophthalmitis.
  • Endophthalmitis after refractive lens procedures underscores the need for vigilant postoperative monitoring.

Conclusions:

  • Infection risks and management strategies are procedure-specific.
  • Continued research and technological advancements are expected to improve outcomes for postoperative infections after refractive surgery.

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