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Infectious Ulcerative Keratitis After Laser In Situ Keratomileusis
Arch Ophthalmol. 1999;117:1423-1427.
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With any laser refractive surgical procedure in which the epithelial barrier is broken, there is an inherent risk of infectious complication. As laser in situ keratomileusis (LASIK) becomes more widely available, cases of LASIK-associated infectious keratitis have begun to be reported.1-6 We report 6 eyes of 5 patients that developed ulcerative keratitis after LASIK.
Report of Cases.
Case 1
A 33-year-old woman noted a foreign body sensation in the right eye 4 days after bilateral LASIK. She was found to have a corneal infiltrate. She was given subconjunctival injections of vancomycin hydrochloride, cefazolin sodium, and betamethasone sodium phosphate and started on therapy with ciprofloxacin hydrochloride eye drops every 20 minutes. After 3 weeks of minimal improvement with various combinations of topical ciprofloxacin and prednisolone acetate, the patient was referred to the Doheny Eye Institute, Los Angeles, Calif. On her initial visit to us, visual acuity was 20/200 OD and 20/20 OS. A 1.5x2-mm . . . [Full Text of this Article] Case 2. Case 3. Case 4. Case 5. Results.
Comment.
Corresponding author: Peter J. McDonnell, MD, Department of Ophthalmology, University of California Irvine, Gottschaulk Medical Plaza, 2000 Medical Plaza Dr, 2004, Irvine, CA 92697 (e-mail: pjmcdonn@uci.edu).
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