Culture-negative ulcerative keratitis after laser in situ keratomileusis.

Abstract:

:A 40-year old man, highly myopic in both eyes, had laser in situ keratomileusis (LASIK) in the left eye in November 1996. Corneal melting and ulceration and fine striae-like interface infiltrates were noticed 1 day postoperatively. There was no response to intensive topical antibiotics in the form of hourly ofloxacin 3% (Tarivid), and satellite lesions developed on day 4. Corneal scrapings for gram stain and culture were done twice. No bacterial or fungal organisms were identified. Intensive topical fortified vancomycin (50 mg/mL) was added, and the lesions resolved gradually over the ensuing 2 weeks. Eighteen months after LASIK, refraction was -1.50 - 0.75 x 105 in the left eye, and uncorrected visual acuity was 20/70, correctable to 20/25 with spectacles.

authors

Lam DS,Leung AT,Wu JT,Fan DS,Cheng AC,Wang Z

doi

10.1016/s0886-3350(99)00080-2

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

1004-8

issue

7

eissn

0886-3350

issn

1873-4502

pii

S0886335099000802

journal_volume

25

pub_type

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