Infectious keratitis after laser refractive surgery

Ophthalmology. 2001 Jul;108(7):1266-8. doi: 10.1016/s0161-6420(01)00600-5.

Abstract

Purpose: To report two cases of infectious keratitis, one fungal after photorefractive keratectomy (PRK) and the other bacterial after laser in situ keratomileusis (LASIK).

Design: Two interventional case reports.

Participants: Case 1 is a male who was seen 3 weeks after PRK with a corneal ulceration. Case 2 involves a female who was seen 7 weeks after LASIK with interface granularity.

Results: Cultures in case 1 were identified as Scopulariopsis species, and despite intensive treatment, a therapeutic penetrating keratoplasty (PK) was eventually performed. Case 2 had cultures identified as Mycobacterium chelonae and also ultimately required a therapeutic PK.

Conclusions: Two unusual infectious keratitides are reported after different laser refractive surgery techniques.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ascomycota / isolation & purification*
  • Cornea / microbiology
  • Cornea / surgery
  • Eye Infections / diagnosis
  • Eye Infections / microbiology*
  • Eye Infections / surgery
  • Female
  • Humans
  • Keratitis / diagnosis
  • Keratitis / microbiology*
  • Keratitis / surgery
  • Keratomileusis, Laser In Situ / adverse effects*
  • Keratoplasty, Penetrating
  • Male
  • Mycobacterium Infections, Nontuberculous / diagnosis
  • Mycobacterium Infections, Nontuberculous / microbiology*
  • Mycobacterium Infections, Nontuberculous / surgery
  • Mycobacterium chelonae / isolation & purification*
  • Mycoses / diagnosis
  • Mycoses / microbiology*
  • Mycoses / surgery
  • Refractive Surgical Procedures