Traumatic late flap dehiscence and Enterobacter keratitis following LASIK.
J Refract Surg
; 22(4): 402-4, 2006 Apr.
Article
em En
| MEDLINE
| ID: mdl-16629074
ABSTRACT
PURPOSE:
To report a case of traumatic flap dehiscence and Enterobacter keratitis 34 months after LASIK.METHODS:
A 36-year-old man sustained a flap dehiscence following traumatic right eye gouging by a seagull claw. He presented the following day with uncorrected visual acuity (UCVA) in the affected eye of 3/200 and organic foreign body deposits underneath the flap. Systemic and topical antibiotics were administered and urgent surgical debridement and replacement of the LASIK flap was performed. An Enterobacter species was cultured from an intraoperative swab.RESULTS:
After a prolonged postoperative course, including administration of topical ofloxacin, tobramycin, chloramphenicol, and dexamethasone, UCVA returned to 20/20.CONCLUSIONS:
Good visual outcome after early debridement and appropriate antibiotics was achieved. Patients should be injury advised to seek prompt ophthalmic consultation after LASIK.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Retalhos Cirúrgicos
/
Deiscência da Ferida Operatória
/
Infecções Oculares Bacterianas
/
Ceratomileuse Assistida por Excimer Laser In Situ
/
Infecções por Enterobacteriaceae
/
Ceratite
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article