Assuntos
Anormalidades Múltiplas/patologia , Síndrome da Retração Ocular/etiologia , Perda Auditiva Neurossensorial/genética , Adolescente , Malformação de Arnold-Chiari/genética , Tronco Encefálico/anormalidades , Síndrome da Retração Ocular/diagnóstico , Síndrome da Retração Ocular/genética , Nanismo/genética , Assimetria Facial/genética , Feminino , Perda Auditiva Bilateral/genética , Perda Auditiva Condutiva/genética , Humanos , Deficiência Intelectual/genética , Síndrome de Klippel-Feil/genética , Masculino , Pessoa de Meia-Idade , SíndromeRESUMO
Purpose. To report an unusual case of severe bilateral fungal keratitis following laser in situ keratomileusis (LASIK). Method. A 48-year-old man developed bilateral diffuse corneal infiltration two weeks after LASIK. The corneal scrapings revealed fungal filaments but cultures were negative. Results. The corneal ulceration was improved on the left eye whereas spontaneous perforation occurred and finally evisceration was needed on the right eye despite topical and systemic antifungal treatment. Conclusions. Fungal keratitis, especially with bilateral involvement, is a very rare and serious complication of LASIK surgery. Clinical suspicion is crucial because most of fungal keratitis are misdiagnosed as bacterial keratitis and can lead serious visual results, even eye loss.
