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Microbial Keratitis Identified During Eye Bank Screen of Corneoscleral Tissue Harvested from Patients With Laser In Situ Keratomileusis History
Arch Ophthalmol. 2004;122:1058-1060.
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Laser-assisted in situ keratomileusis (LASIK) has become a well-accepted and effective procedure for the treatment of a wide range of refractive errors. Microbial keratitis is a potential complication of LASIK with causative organisms, including gram-positive bacteria, atypical mycobacteria, fungi, and viral pathogens.1 Direct ocular trauma and exposure keratopathy in severely ill patients in intensive care units are risk factors for microbial keratitis. We describe the first cases, to our knowledge, of infectious keratitis in donor corneas harvested from cadavers with a past history of LASIK. Slitlamp, specular microscopy, and histopathologic findings are presented. These donors would likely have suffered vision loss if they had survived their illnesses. This article illustrates the importance of eye care by intensive care personnel managing patients with a past history of LASIK.
Report of Cases
Case 1. In December 2002, a healthy 22-year-old man underwent uncomplicated myopic LASIK in both eyes. Two days later, he was involved in . . . [Full Text of this Article]
Comment
V. Vinod Mootha, MD;
Dan Dawson, MD;
Amit Kumar, MD;
Joel Gleiser, MD;
Daniel M. Albert, MD
Correspondence: Dr Mootha, Department of Surgery/Division of Ophthalmology, 2211 Lomas Blvd NE, 2-ACC, Albuquerque, NM 87131 (vmootha@salud.unm.edu).
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