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Nocardial keratitis following myopic keratomileusis
E G Nascimento1, M J Carvalho, D de Freitas
1Department of Ophthalmology, Paulista School of Medicine, Sao Paulo, Brazil.
Summary
Interface opacities after myopic keratomileusis were diagnosed as Nocardia asteroides keratitis. Prompt microbiologic confirmation and treatment led to visual recovery with a residual scar.
Area of Science:
- Ophthalmology
- Microbiology
- Corneal Surgery
Background:
- Myopic keratomileusis is a refractive surgical procedure.
- Interface opacities can be a postoperative complication.
Observation:
- A patient developed interface opacities following uncomplicated myopic keratomileusis.
- The opacities were suspected to be infectious.
Findings:
- Microbiologic work-up confirmed Nocardia asteroides keratitis.
- The patient achieved 20/60 spectacle-corrected visual acuity post-treatment.
- A residual stromal scar was noted.
Implications:
- Early detection and microbiologic diagnosis are crucial for managing infectious keratitis post-refractive surgery.
- Nocardia asteroides is a potential cause of keratitis after keratomileusis.
- Prompt treatment can lead to favorable visual outcomes despite residual corneal scarring.