Aspergillus fumigatus keratitis following laser in situ keratomileusis.

Abstract:

:A 31-year-old woman developed pain, decreased vision, and a corneal flap infiltrate 4 days following laser in situ keratomileusis (LASIK). Treatment with topical antibiotic agents did not improve the symptoms. Approximately 2 weeks after surgery, the patient was referred to Stanford University, with 20/400 visual acuity in the left eye and a stromal infiltrate posterior to the flap. Cultures demonstrated Aspergillus fumigatus sensitive to voriconazole. The corneal ulcer progressed despite aggressive antifungal treatment, requiring amputation of the corneal flap and daily debridement. The infiltrate resolved in response to topical voriconazole, natamycin, and oral voriconazole. Aspergillus fumigatus keratitis is a rare but serious complication of LASIK surgery. The infection was successfully treated with flap amputation and daily debridement in addition to antifungal therapy.

authors

Sun Y,Jain A,Ta CN

doi

10.1016/j.jcrs.2007.05.051

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

1806-7

issue

10

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(07)01252-7

journal_volume

33

pub_type

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