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J Refract Surg. 2008 Apr;24(4):411-3.

Late-onset infections after LASIK.

Author information

1
Cornea and External Diseases Sector, Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil. carolvieira@superig.com.br

Abstract

PURPOSE:

To report two cases of infectious keratitis that developed 2 and 6 years after LASIK.

METHODS:

Case 1 was a 56-year-old woman who presented with redness and decreased vision in the right eye 6 years after LASIK. Slit-lamp examination revealed inflammation of the flap interface, a partially detached flap, anterior chamber reaction, and hypopyon. Corneal scrapings were taken. Case 2 was a 23-year-old woman who presented with pain and a corneal infiltrate in the left eye 36 hours after eye trauma. She had undergone bilateral LASIK 2 years prior. The condition worsened despite treatment, and a flap amputation was performed.

RESULTS:

Cultures revealed Pseudomonas mesophilic and Fusarium solani, respectively. Keratitis in case 1 resolved after 21 days of fortified antibiotic therapy. Visual acuity of 20/40 was achieved after antibiotic treatment in case 2.

CONCLUSIONS:

These case reports demonstrate the risk of microbial keratitis occurring years after LASIK and emphasize the need for lifelong postoperative vigilance by patient and physician.

PMID:
18500093
[Indexed for MEDLINE]

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