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First Author: P.Gosciniewicz POLAND
Co Author(s): E. Mrukwa-Kominek E. Magnucka L. Drzyzga
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To present a case of 23-year-old male patient with an advanced corneal malacia post Epi-LASIK surgery complicated with Acanthamoeba and fungal keratitis.
Department of Ophthalmology, University Hospital No. 5, Medical University of Silesia, Katowice, Poland
The patient was admitted to the Corneal Diseases Unit, of the Department of Ophthalmology, University Hospital No. 5, Katowice, Poland. Three months before he underwent Epi-LASIK surgery in both eyes in a different hospital, indication was myopia. After 3 months on follow-up examination corneal malacia and perforation of the cornea in right eye was stated (BCVA=0,01). Confocal microscopy of the cornea was performed. The cysts and trophozoites of Acanthamoeba and fugal filaments in the right eye were stated.
Corneal transplantation was performed and systemic and local treatment was applied. Due to recurrent corneal keratitis transplantation was carried out three times within 6 months.
Epi-LASIK procedure can be complicated with malacia of the cornea but in rare cases it can be also complicated by the Acanthamoeba and fungal keratitis.