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. 2022 Sep 23;87(3):e2021-0235.
doi: 10.5935/0004-2749.2021-0235. Online ahead of print.

Mycobacterium abscessus keratitis after LASIK surgery

Rengin Aslıhan Kurt  1 , Deniz Arik  2 , Nilgun Yildirim  3 , Afsun Sahin  4
Affiliations

Mycobacterium abscessus keratitis after LASIK surgery

Rengin Aslıhan Kurt et al. Arq Bras Oftalmol. .

Abstract
in English, Portuguese

A 33-year-old male presented with unilateral subacute infectious keratitis 4 weeks after surgery. Corneal inflammation was resistant to standard topical antibiotic regimens. During diagnostic flap lifting and sampling, the corneal flap melted and separated. Through flap lifting, corneal scraping, microbiological diagnosis of atypical mycobacteria, and treatment with topical fortified amikacin, clarithromycin, and systemic clarithromycin, clinical improvement was achieved.

Paciente do sexo masculino, 33 anos, apresentou ceratite infecciosa subaguda unilateral 4 semanas após a cirurgia. A inflamação da córnea foi resistente aos regimes de antibióticos tópicos padrão. A aba da córnea foi derretida e seccionada durante o levantamento e amostragem para diagnóstico. A melhora clínica só foi alcançada após levantamento do retalho, raspagem e diagnóstico microbiológico de micobactérias atípicas e tratamento com amicacina fortificada tópica, claritromicina e claritromicina sistêmica.

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Conflict of interest statement

Disclosure of potential conflicts of interest: None of the authors have any potential conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Conjunctival +3 hyperemia and difuse corneal haze at week 4 of LASIK surgery.
Figure 2
Figure 2
Second clinical presentation of the patient after 6 weeks. A) Multiple corneal crystalline deposits and difuse corneal haze. B) Accompanying epithelial defects.
Figure 3
Figure 3
Pathological acid-fast staining of the autoamputated fap shows multiple Bacillus microorganisms.
Figure 4
Figure 4
Mild corneal haze at month 8 of follow-up with the best-corrected visual acuity of 20/63.
See this image and copyright information in PMC

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