Late-onset infections after LASIK
Vieira, Ana Carolina [UNIFESP]
Pereira, Telma [UNIFESP]
Freitas, Denise de [UNIFESP]
Is part ofJournal Of Refractive Surgery
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PURPOSE: To report two cases of infectious keratitis that developed 2 and 6 years after LASIK.METHODS: Case 1 was a 56-year-old woman who presented with redness and decreased vision in the right eye 6 years after LASIK. Slit-lamp examination revealed inflammation of the flap interface, a partially detached flap, anterior chamber reaction, and hypopyon. Corneal scrapings were taken. Case 2 was a 23-year-old woman who presented with pain and a corneal infiltrate in the left eye 36 hours after eye trauma. She had undergone bilateral LASIK 2 years prior. The condition worsened despite treatment, and a flap amputation was performed.RESULTS: Cultures revealed Pseudomonas mesophilic and Fusarium solani, respectively. Keratitis in case 1 resolved after 21 days of fortified antibiotic therapy. Visual acuity of 20/40 was achieved after antibiotic treatment in case 2.CONCLUSIONS: These case reports demonstrate the risk of microbial keratitis occurring years after LASIK and emphasize the need for lifelong postoperative vigilance by patient and physician.
CitationJournal Of Refractive Surgery. Thorofare: Slack Inc, v. 24, n. 4, p. 411-413, 2008.
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