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Indian J Ophthalmol. 2019 Oct;67(10):1742-1744. doi: 10.4103/ijo.IJO_72_19.

Arcuate keratotomy infiltration following uneventful femtosecond laser assisted cataract surgery.

Author information

1
Director, B B Eye Foundation, Kolkata, West Bengal, India.
2
Consultant, Cornea Services, B B Eye Foundation, Kolkata, West Bengal, India.
3
Associate Consultant, B B Eye Foundation, Kolkata, West Bengal, India.
4
Fellow, B B Eye Foundation, Kolkata, West Bengal, India.
5
Ophthalmology Resident, Dr. D Y Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.

Abstract

An 84-year-old gentleman underwent uneventful femtolaser-assisted cataract surgery (FLACS) with an arcuate keratotomy (AK) in the left eye. On the 18th post-operative day, a corneal infiltrate developed involving the AK. Staphylococcus epidermidis was the organism isolated on culture. The infiltrate resolved with topical fortified vancomycin and amikacin eyedrops, and the patient regained a visual acuity of 6/6 after 12 weeks. This is the first case from south-east Asia reported in the literature of an infective infiltrate along a femtosecond laser AK. We propose strict peri-operative recommendations to be followed to prevent and treat such infections.

KEYWORDS:

Arcuate keratotomy; femtolaser-assisted cataract surgery; infiltration

PMID:
31546549
DOI:
10.4103/ijo.IJO_72_19
Free PMC Article

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