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Infectious keratitis following LASIK

Poster Details

First Author: N.Abroug TUNISIA

Co Author(s):    R. Kahloun   W. Ammari   I. Ksiaa   S. Attia   S. Ben Yahia   M. Khairallah

Abstract Details

Purpose:

To describe clinical findings and visual outcome of infectious keratitis following laser in-situ keratomileusis (LASIK).

Setting:

Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia, between January 2009 and December 2013.

Methods:

Retrospective review of five patients (5 eyes) referred to our department with microbial keratitis following LASIK. All patients underwent detailed ophthalmic examination. Corneal scrapping at the edge of the infiltrates or beneath the falp, with microscopic examination and culture, were performed in all cases. Follow-up ranged between 1 to 8 months.

Results:

Mean age of patients was 31.6 years. Three patients had femtosecond laser-assisted LASIK and two had microkeratome-assisted LASIK. The mean interval between LASIK and presentation was 10.6 days. Mean initial visual acuity (VA) was 20/125. Slit-lamp examination found central infiltrates (5 eyes), epithelial defects (3 eyes) and edema of the flap (2 eyes). The causative germ was identified in two patients (streptococcus in one eye, candida in one eye). All patients were treated with antimicrobial agents, based on the suspected bacterial and/or fungal origin. Final VA was 20/20 in one eye, and less than 20/200 in one eye.

Conclusions:

Infections occurring after LASIK surgery are a serious and increasing complication. In our patients, multiple central corneal infiltrates were the most common feature. Prompt identification with appropriate management of keratitis is mandatory to improve visual outcome.

Financial Disclosure:

NONE

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