A Case of Endophthalmitis after Laser in situ Keratomi leusisLASIK.
- Author:
Hyun Hu LEE
;
Sung Pyo PARK
;
Tae Hoon CHOI
;
Ha Bum LEE
- Publication Type:Case Report
- Keywords:
LASIK;
Laser in situ keratomileusis;
Endophthalmitis;
Serratia marcescens
- MeSH:
Anti-Bacterial Agents;
Astigmatism;
Corneal Edema;
Education;
Endophthalmitis*;
Humans;
Hygiene;
Incidence;
Keratomileusis, Laser In Situ;
Myopia;
Postoperative Period;
Refractive Surgical Procedures;
Serratia marcescens;
Visual Acuity;
Young Adult
- From:Journal of the Korean Ophthalmological Society
1999;40(12):3521-3525
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Laser in situ keratomileusis[LASIK] is a refractive surgical procedure that is effective in treating myopia and astigmatism. The incidence of corneal infection after LASIK is approximately 0.02% according to international experience. We experience the case of a 20-year old man who developed endophthalmitis; corneal edema, epithelial defect, hypopyon was found 2 days after LASIK. He was immediately given intravenous and subconjuntival injection[tobramycin and ceftazidime] and topical fortified eyedrop[tobramycin and ceftazidime]. The microbiologic study revealed Serratia marcescens as the causative organism. Three days after therapy was instituted, the hypopyon resolved. After 4 months of LASIK, visual acuity was 1.0 and maintained recently. We report a case of endophthalmitis after LASIK by Serratia marcescens which detected early and treated by antibiotics. In addition, close postoperative surveillance and education for hygiene was required on early postoperative period.
