Abstract：
:A 48-year-old man had simultaneous bilateral photorefractive keratectomy (PRK). The surgeon who performed the PRK did not see the patient in follow-up, and there was confusion regarding the comanaging doctor. Therefore, the patient was not examined immediately postoperatively. Several days later, he was hospitalized for an unrelated, painful orthopedic problem and heavily sedated. Seven days after the PRK, an ophthalmologist was consulted for ocular irritation and discharge. Examination showed bilateral, purulent conjunctivitis and severe infectious keratitis in the left eye. The patient was treated with periocular and topical antibiotics. Corneal cultures yielded Staphylococcus aureus. The keratitis resolved slowly, leaving the patient with hand motion visual acuity. A corneal transplant and cataract extraction was performed 15 months later, resulting in a best corrected visual acuity of 20/400 because of glaucomatous optic nerve damage. Severe infectious keratitis may occur after PRK. Poor communication between the surgeon, comanaging doctor, and patient may result in treatment delay.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Heidemann DG,Clune M,Dunn SP,Chow CYdoi
10.1016/s0886-3350(99)00336-3subject
Has Abstractpub_date
2000-01-01 00:00:00pages
140-1issue
1eissn
0886-3350issn
1873-4502pii
S0886-3350(99)00336-3journal_volume
26pub_type
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更新日期：2009-12-01 00:00:00
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更新日期：2010-07-01 00:00:00
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更新日期：2004-03-01 00:00:00
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