Bacterial keratitis after photoreactive keratectomy in a young, healthy man

A 34-year-old man who had excimer laser photorefractive keratectomy (PRK) for myopia developed bacterial keratitis from Pseudomonas aeruginosa. He was treated with intensive topical and systemic antimicrobial agents. The eye recovered an uncorrected visual acuity of 20/30. Bacterial keratitis can occur in young, healthy patients after PRK, especially when a bandage soft contact lens is used without appropriate prophylactic measures.