라섹 수술 후 발생한 세균성 각막염

• 영문명: Bacterial Keratitis after Laser Epithelial Keratomileusis
• 발행기관: 대한검안학회
• 저자명: 이동현(Dong Hyun Lee) 이종헌(Jong Heon Lee) 이지은(Ji Eun Lee)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.14 No.3, 150~154쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.09.30

영문 초록

Purpose: To report two cases of bacterial keratitis occurring after laser epithelial keratomileusis (LASEK). Case summary: Two patients were referred to our hospital because of ocular pain, conjunctival injection, and decreased visual acuity occurring 3 days after LASEK surgery. At that time, visual acuity was hand movement in both cases and they presented with corneal epithelial defects, stromal infiltration, and inflammation in the anterior chamber of their eyes. Patients were treated aggressively with hourly topical broad-spectrum fortified antibiotics after corneal scrapings were obtained. Gram stain was positive for gram negative bacilli in case 1 and culture was positive for Staphylococcus aureus in case 2. Both eyes responded well to treatment, resulting in residual corneal scarring with best corrected visual acuity of 20/25 in case 1 and 20/40 in case 2 after 12 and 6 months respectively. Conclusions: Infectious keratitis can occur after LASEK surgery usually during early postoperative period and early diagnosis and aggressive therapy should be followed through the close follow-up.

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키워드

Keratitis Laser assisted sub-epithelial keratomileusis