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Delayed-onset Pseudomonas keratitis after radial keratotomy
1Horizon Eye Care Group, Lancaster, Pennsylvania 17603, USA.
Journal of Cataract and Refractive Surgery
|November 22, 1997
Summary
A late-onset Pseudomonas keratitis infection occurred in a patient with radial keratotomy (RK) incisions. This case is unusual due to the timing and absence of contact lens wear.
Area of Science:
- Ophthalmology
- Microbial Keratitis
Background:
- Radial and astigmatic keratotomy (RK) are refractive surgical procedures.
- Postoperative complications can include infectious keratitis.
Observation:
- A 62-year-old man developed a corneal ulcer in a radial keratotomy incision 21 months after surgery.
- Cultures identified Pseudomonas as the causative agent.
Findings:
- This represents a rare case of late-onset Pseudomonas keratitis.
- The patient had no history of contact lens wear, which is a common risk factor.
Implications:
- This case highlights the potential for delayed infectious complications after RK.
- Further research may be needed to understand risk factors for late-onset keratitis in RK patients.