The Treatment Of Early Bacterial Keratitis After Small Incision Lenticular Extraction
Published 2023 - 41st Congress of the ESCRS
Reference: PO0653 | Type: Free paper | DOI: 10.82333/6skm-fa74
Authors: Shaowei Li* 1 , Lin Zhao 1 , Chang Liu 1
1cornea,Beijing Aier-intech eye hospital,Beijing,China
Purpose
To investigate the clinical outcomes of comprehensive treatment for early bacterial keratitis after SMILE.
Setting
Department of Cornea, Beijing Aier-Intech Eye Hospital, Beijing, China.
Methods
The clinical data of post-SMILE bacterial keratitis patients were reviewed and analyzed. Fortified topical antibiotics, ocular surface lavage, photo activated chromophore for keratitis-corneal collagen cross-linking (PACK-CXL) were performed. The visual acuity and the control segment of corneal infection was recorded in the final follow-up.
Results
7 eyes of 4 patients were enrolled. The onset of symptoms after SMILE occurred within approximately 1 to 1.5 days (1.07 ± 0.19 days). The mean corrected distance visual acuity (CDVA) was 0.74±0.73(20/1000-20/20). Topical antibiotics were combined with ocular surface lavage and PACK-CXL in 6 eyes. Topical antibiotics were combined with ocular surface lavage in 1 eye. After treatment, all of the infections were rapidly controlled. The lesions were decreased in size and hypopyon was resolved. Finally, stromal haze formed. The duration of infection control was 1-8 days (4.57 ± 2.82 days). The cure duration lasted for 5-15 days (9.14 ± 4.18 days). The mean CDVA(LogMAR) at the final follow-up was -0.01±0.09 (20/25-20/16).
Conclusions
Early bacterial infection after SMILE can be treated effectively by using a comprehensive treatment strategy.