Lasik after Corneal Ulcer


Authors: S. Procházková 1,3;  M. Netuková 2;  D. Klečka 3;  P. Novák 1,3
Authors‘ workplace: Oční oddělení Nemocnice Na Homolce, Praha 5, primář MUDr. Petr Novák 1;  Oční klinika FN KV, Praha 10, přednosta prof. MUDr. Pavel Kuchynka, CSc. 2;  Refrakční Centrum Praha, s. r. o. 3
Published in: Čes. a slov. Oftal., 67, 2011, No. 3, p. 86-89
Category: Case Report

Overview

Our case report presents successful treatment of corneal ulcer caused by the most common pathogen of infectious keratitis – Pseudomonas aeruginosa. Treatment was followed by LASIK as a final refractive error solution. 20 year old patient (contact lens wearer) was admitted for acute infectious corneal ulcer in her left eye. Her visual acuity was 0.5 partial with full correction. Intensive local treatment with Tobramycin, Ofloxacin and Scopolamin was started. After healing of infectious focuses, local steroids (Fluorometholonin acetas) were used to clear residual stromal haze. Refractive error was corrected after stabilisation using LASIK. Longstanding visual acuity is thanks to the early and intensive therapy 1.0 bilaterally.

Key words:
Lasik, infectious keratitis, Pseudomonas aeruginosa


Sources

1. Bennett, H., G.,B., Hay, J., Kirkness, C.,M. et al.: Antimicrobial management of presumed microbial keratitis: guidelines for treatment of central and peripheral ulcers. Br J Ophthalmol, 82, 1998: 137–145.

2. Bharathi, M.,J., Ramakrishnan, R., Meenakshi, R. et al.: Microbiological diagnosis of infective keratitis: comparative evaluation of direct microscopy and culture results. Br J Ophthalmol, 90, 2006: 1271–1276.

3. Dahlgren, M.,A., Lingappan, A., Wilhelmus, K.,R.: The Clinical Diagnosis of Microbial Keratitis. Am J Ophthalmol, 143, 2007: 940–944.

4. Dini ,L.,A., Cockinos, C., Frean, J.,A. et al.: Unusual Case of Acanthamoeba polyphaga and Pseudomonas aeruginosa Keratitis in a Contact Lens Wearer from Gauteng, South Africa. J Clinical Microbiology, 38, 2, 2000: 826–829.

5. Kay, S., Tuft, S., Neal, T. et al.: Bacterial Susceptibility to Topical Antimicrobials and Clinical Outcome in Bacterial Keratitis. Investigative Ophthalmology Visual Science, 51, 1, 2010: 362–368.

6. Li Y.,Ch., Zeldovich, A., Chua, B.,J. et al.: Lessons from practice Hazardous contact: a case of visual loss following Pseudomonas keratitis from novelty contact lens wear. MJA, 3, 185, 2006: 173–174.

7. Qureshi, M., N., Perez II, A.,A., Madayag, R.,M. et al.: Inhibition of Acanthamoeba Species by Pseudomonas aeruginosa: Rationale for Their Selective Exclusion in Corneal Ulcers and Contact Lens Care Systems. J Clinical Microbiology, 31, 7, 1993: 1908–1910.

8. Reid, F.,R., Wood, T.,O.: Pseudomonas Corneal Ulcer. Arch Ophthalmol, 97, 1979: 1640–1641.

9. Tam, C., Mun, J.,J., Evans, D.,J. et al.: The Impact of Inoculation Parameters on the Pathogenesis of Contact Lens-Related Infectious Keratitis. Investigative Ophthalmology Visual Science, 51, 6, 2010: 3100–3106.

Labels
Ophthalmology
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