Brief reportAspergillus flavus keratitis after laser in situ keratomileusis
Section snippets
Case report
A 24-year-old woman underwent laser in situ keratomileusis surgery in both eyes on July 21, 1999. According to the referring doctor, vision was 20/20 in right eye on the first postoperative day. On the third day after surgery, she developed symptoms of pain, redness, watering, and decreased vision in the right eye. An infiltrate was noted posterior to the corneal flap. Considering this at first to be sterile infiltrate, the patient was given topical steroids every hour and systemic steroids.
Discussion
Perez Santonja and associates1 reported the first case of corneal infection after laser in situ keratomileusis surgery, which was caused by Nocardia asteroides.1 Subsequently, various authors reported isolated cases of bacterial keratitis after laser in situ keratomileusis surgery; the infections were caused by Mycobacterium chelonae,2Streptococcus pneumoniae,3Streptococcus viridans,4 and Staphylococcus aureus.5 We report this case of fungal keratitis caused by A. flavus to highlight the
References (5)
- et al.
Nocardial keratitis after laser in situ keratomileusis
J Refract Surg
(1997) - et al.
Mycobacterium chelonae keratitis following laser insitu keratomileusis
J Refract Surg
(1998)
Cited by (56)
Infectious keratitis after excimer laser corneal surgery
2014, Taiwan Journal of OphthalmologyFirst multicenter survey on infectious keratitis following excimer laser surgery in Japan
2014, Taiwan Journal of OphthalmologyCitation Excerpt :Excimer laser-assisted cornea surgery is the mainstay in refractive surgery (e.g., LASIK, PRK) and in therapeutic treatment (e.g., PTK). As with other surgical procedures, case reports have described postoperative bacterial keratitis,5–11 fungal keratitis,12–14 or mycobacterial keratitis after refractive surgeries.15,16 Compared with other refractive procedures, LASIK preserves the integrity of Bowman's membrane and the overlying epithelium, thus decreasing the risk of microbial keratitis.17
Infectious keratitis outbreak after laser in situ keratomileusis at a single laser center in Japan
2011, Journal of Cataract and Refractive SurgeryRole of confocal microscopy in the diagnosis of fungal and acanthamoeba keratitis
2011, OphthalmologyCitation Excerpt :Microbial keratitis after LASIK usually occurs in the interface and is not accessible to corneal scrapings for microbiologic diagnosis. Although lifting the LASIK flap and scraping from the stromal bed is an integral part of the management of such cases, early identification of the etiologic agent would allow specific treatment to be instituted early in the course of the infection, probably improving the chances of resolution on medical treatment.35–38 Microbial keratitis after incisional refractive surgery like radial keratotomy and arcuate keratotomy are difficult to access by corneal scraping as the infiltrate is usually not anterior stromal.39–41
Infectious and noninfectious keratitis after laser in situ keratomileusis. Occurrence, management, and visual outcomes
2007, Journal of Cataract and Refractive SurgeryPost-operative aspergillosis
2006, Clinical Microbiology and InfectionCitation Excerpt :Ocular aspergillosis usually presents as keratitis, and rarely as endophthalmitis [92,184–187]. Postoperative infections have been described following penetrating keratoplasty [188–190], radial keratotomy [191–194], excimer laser photorefractive keratectomy [195], laser-assisted in-situ keratomileusis [196–199], pterygium excision [200,201], hydroxyapatite orbital implant surgery [202], cataract surgery [179,184,203–212], scleral buckling procedures [213,214], sutureless surgery [215,216] and trabeculectomy [204,217]. Sampling at the site of infection provides the best chance for obtaining a positive culture [196,218–220].