Infections after PRK could have a happy ending: a series of three cases.

Details

Serval ID
serval:BIB_3A7AB000BE18
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Infections after PRK could have a happy ending: a series of three cases.
Journal
Klinische Monatsblätter Für Augenheilkunde
Author(s)
Bertschinger D.R., Hashemi K., Hafezi F., Majo F.
ISSN
1439-3999[electronic], 0023-2165[linking]
Publication state
Published
Issued date
2010
Peer-reviewed
Oui
Volume
227
Number
4
Pages
315-318
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
BACKGROUND: Infectious keratitis after PRK remains a rare but potentially devastating complication. HISTORY AND SIGNS: Medical records of 3 male patients with infectious keratitis after uneventful PRK for myopia and astigmatism were reviewed retrospectively. PRK was performed using the Wavelight Allegretto excimer laser. Postoperative care included a bandage contact lens (BCL) for 5 days, topical antibiotics, ketorolac, and artificial tears. THERAPY AND OUTCOME: Keratitis presented 2 - 4 days postoperatively. In one case, each culture was negative (case 1), and was positive for Streptococcus pneumoniae (case 2) and Staphylococcus aureus (case 3). Final BSCVA (best spectacle corrected visual acuity) after intensive antibiotic treatment and removal of BCL were 1.0 (case 1), 0.9 (case 2) and 0.3 correctable to 0.8 with pinhole (case 3). CONCLUSIONS: Postoperative broad-spectrum antibiotics are mandatory after PRK to prevent infectious keratitis. However, resistant organisms are more and more common. The presence of a bandage soft contact lens after surgery is an unfavourable element that may increase risk of infection. Based on our case series, we suggest limiting soft contact lens wear during the two postoperative days even if the corneal ulceration is not healed.
Pubmed
Web of science
Create date
18/05/2010 12:53
Last modification date
20/08/2019 13:30
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