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Arch Ophthalmol. 1999;117:968-970.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Bacterial keratitis following laser in situ keratomileusis is an uncommon complication. Previous reports^1-3 have described unilateral bacterial keratitis after various refractive procedures, and Watanabe et al⁴ reported a case of bilateral staphylococcal bacterial keratitis after laser in situ keratomileusis. To our knowledge, this is the first report of a bilateral infection after refractive surgery in an immunocompromised patient.

Report of a Case

A 55-year-old white man underwent bilateral simultaneous laser in situ keratomileusis by his referring physician for myopia of -5 diopters (D) OD and -3 D OS. His left eye had undergone radial keratotomy 10 years previously. He had a history of human immunodeficiency virus with no opportunistic infections, no acquired immunodeficiency syndrome–defining conditions, and a T-helper lymphocyte count of 0.30x10⁹/L (300 cells/mm³); the patient was on a regimen of protease inhibitors. The referring physician neither used a povidone-iodine (Betadine) preparation nor draped the eyelids. The laser hand controls . . . [Full Text of this Article]

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Reprints: Robert K. Maloney, MD, 10921 Wilshire Blvd, Suite 900, Los Angeles, CA 90024.

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