Early post-LASIK flap amputation in the treatment of aggressive, branching keratitis: a case report.
نویسندگان
چکیده
Infectious keratitis is rare following laser vision correction. We present a case of aggressive fungal keratitis caused by Aspergillus flavus, following laser in situ keratomileusis (LASIK) in the setting of a unique environmental risk factor. We describe the key features of the acute case presentation, which guided empirical medical and surgical treatment, resulting in the most favorable outcome found in the literature, to date.
منابع مشابه
Long-term Outcomes of Flap Amputation After LASIK.
To the Editor: Several complications can occur after LASIK due to the creation of a non-physiological potential space, including epithelial ingrowth, diffuse lamellar keratitis, and infectious keratitis. Although some of these complications can be mild and not visually significant, others can be vision-threatening and require medical or surgical intervention. Treatment of complications after LA...
متن کاملFlap amputation with phototherapeutic keratectomy (PTK) and adjuvant mitomycin C for severe post-LASIK epithelial ingrowth.
PURPOSE To report a patient with severe post-laser in situ keratomileusis (LASIK) epithelial ingrowth and keratolysis treated with flap amputation and phototherapeutic keratectomy (PTK) with adjuvant intraoperative mitomycin C (MMC). METHODS Case report. RESULTS A 55-year-old woman was referred to our department due to severe post-LASIK epithelial ingrowth with corneal melting 2 years after...
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tients are at risk for lagophthalmos and exposure-related keratitis. The post-LASIK neurotrophic status of these patients may further predispose them to infectious keratitis. The first case represents, to our knowledge, the earliest postLASIK human histopathologic finding (9 days post-LASIK). The neurotrophic cornea would certainly be a risk factor in the immediate postoperative period. The fir...
متن کاملDiffuse lamellar keratitis in the femtosecond-assisted LASIK flap tunnel
Here we report a case of a 29-year-old myopic female who underwent femtosecond laser-assisted in situ keratomileusis (LASIK) and, on the first postoperative day slit-lamp examination revealed a dense, white, granular reaction with the presence of some blood droplets (stage I diffuse lamellar keratitis [DLK]) in her left eye, specifically localized into the femtosecond LASIK flap tunnel (not ext...
متن کاملA case of intractable infectious keratitis and subsequent flap necrosis after laser in situ keratomileusis
We report on a patient in whom intractable infectious keratitis and subsequent lamellar flap necrosis necessitating flap amputation after laser in situ keratomileusis (LASIK). A 34-year-old woman undergoing LASIK complained of blurred vision and pain in the left eye. The best spectacle-corrected visual acuity was 0.01, and slit-lamp examination showed a marked presence of stromal infiltrates in...
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ورودعنوان ژورنال:
- Arquivos brasileiros de oftalmologia
دوره 79 1 شماره
صفحات -
تاریخ انتشار 2016