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Cornea. 2009 Jan;28(1):105-7. doi: 10.1097/ICO.0b013e318184e69b.

Unilateral Candida parapsilosis interface keratitis after laser in situ keratomileusis: case report and review of the literature.

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  • 1Department of Ophthalmology, China Medical University Hospital, Taichung, Taiwan.

Abstract

PURPOSE:

To describe a rare case of early-onset Candida parapsilosis infection after laser in situ keratomileusis (LASIK) and review the published reports of post-LASIK fungal infections.

METHODS:

A 32-year-old woman presented with interface infiltration in the central interface in the right eye 2 days after LASIK surgery. The right eye flap was lifted, and the opacities were scraped. Two days later, a 3- x 3-mm-dense oval opacity and diffuse hazes were noted. Surgical intervention was arranged because of suspicion of interface infectious keratitis.

RESULTS:

After an apparent post-LASIK keratitis with related interface inflammation failed to respond to medical therapy, corneal culture results were positive for C. parapsilosis 2 weeks 6 days after presentation. The patient was started on topical drops of amphotericin B 0.15% every hour after the smear showed the presence of yeast. The opacities decreased, and the topical antifungal drops were tapered. One month later, her uncorrected visual acuity recovered to 20/20.

CONCLUSIONS:

Candida parapsilosis interface keratitis after LASIK may occur in the early phase. Early diagnosis and proper treatment can result in good outcome.

PMID:
19092419
[PubMed - indexed for MEDLINE]
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