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Review
. 2003 May;29(5):1014-8.
doi: 10.1016/s0886-3350(02)01613-9.

Rapid diagnosis and treatment of mycobacterial keratitis after laser in situ keratomileusis

Bradley S Daines  1 , David T Vroman, Helga P Sandoval, Lisa L Steed, Kerry D Solomon
Affiliations
Review

Rapid diagnosis and treatment of mycobacterial keratitis after laser in situ keratomileusis

Bradley S Daines et al. J Cataract Refract Surg. 2003 May.

Abstract

We report the results of laser in situ keratomileusis (LASIK) in a 51-year-old woman with subsequent mycobacterial keratitis diagnosed by staining with acid-fast and fluorochrome methods, a technique known to have good sensitivity and specificity for mycobacteria. A rapid diagnosis was made without waiting for cultures, and treatment was instituted, including tapering of topical steroids and appropriate antibiotic therapy. The result was preservation of the LASIK flap and a favorable visual outcome at 6 months.

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