Recurrent interface infiltration with hypopyon after astigmatic laser in situ keratomileusis on a penetrating corneal graft.

Abstract:

:A 56-year-old woman was referred with recurrent interface infiltration and hypopyon after astigmatic laser in situ keratomileusis (LASIK) on a corneal graft. Pseudomonas aeruginosa was isolated as the causative pathogen. Penetrating keratoplasty had been performed 2 years before refractive surgery. After the antibiotic medication was tapered, 3 recurrences of interface infiltration with hypopyon were observed. Penetrating rekeratoplasty was deemed appropriate. Histological examination of the explanted corneal graft revealed anterior stromal neutrophil infiltration. This case illustrates that microbial pathogens brought underneath the flap by LASIK can persist months later despite antimicrobial treatment.

authors

Reinhard T,Knorz M,Sundmacher R

doi

10.1016/j.jcrs.2003.05.001

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

257-8

issue

1

eissn

0886-3350

issn

1873-4502

pii

S088633500300717X

journal_volume

30

pub_type

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