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Letter
Fusarium solani keratitis following LASIK for myopia
  1. S Verma,
  2. S J Tuft
  1. Moorfields Eye Hospital, City Road, London EC1V 2PD, UK
  1. Correspondence to: Mr Stephen Tuft; stuft{at}ucl.ac.uk

https://doi.org/10.1136/bjo.86.10.1190

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    Fungal keratitis is a rare complication of photorefractive keratectomy (PRK),1,2 LASIK,3–6 and LASIK enhancement.7 We describe a patient who developed keratitis in one eye after bilateral LASIK procedures. The keratitis progressed despite intensive topical and systemic antibacterial and antifungal treatment. Initial cultures were negative, but a diagnosis of fungal keratitis was suggested by confocal microscopy. Fusarium solani was isolated following penetrating keratoplasty.

    Case report

    A 45 year old woman noted blur and discomfort of the right eye 3 days after bilateral LASIK procedures for myopia. The visual acuity was 6/9–3 unaided and there was a 1.5 mm diameter infiltrate beneath the flap (Fig 1A). The left eye was unaffected with an unaided visual acuity of 6/6. Cultures were not taken but her topical antibiotic was changes from chloramphenicol to ofloxacin, and dexamethasone 0.1% four times daily was continued. After a further 4 days the vision had reduced to 6/36 and there was ulceration through the flap over the infiltrate; treatment was changed to hourly gentamicin 1.5%, cefuroxime 5%, and econazole 1%, and dexamethasone was continued to …

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