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.
Publication types
-
Case Reports
-
Research Support, Non-U.S. Gov't
-
Review
MeSH terms
-
Amikacin / administration & dosage
-
Bacteriological Techniques
-
Ciprofloxacin / administration & dosage
-
Clarithromycin / administration & dosage
-
Corneal Ulcer / diagnosis*
-
Corneal Ulcer / drug therapy
-
Corneal Ulcer / microbiology
-
Diagnostic Techniques, Ophthalmological
-
Drug Therapy, Combination / administration & dosage
-
Eye Infections, Bacterial / diagnosis*
-
Eye Infections, Bacterial / drug therapy
-
Eye Infections, Bacterial / etiology
-
Female
-
Humans
-
Indicators and Reagents
-
Keratomileusis, Laser In Situ / adverse effects*
-
Middle Aged
-
Mycobacterium Infections, Nontuberculous / diagnosis*
-
Mycobacterium Infections, Nontuberculous / drug therapy
-
Mycobacterium Infections, Nontuberculous / etiology
-
Mycobacterium chelonae / isolation & purification*
-
Myopia / surgery
-
Postoperative Complications*
-
Staining and Labeling / methods
-
Tobramycin / administration & dosage
Substances
-
Indicators and Reagents
-
Ciprofloxacin
-
Amikacin
-
Clarithromycin
-
Tobramycin