Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Mycobacterium chelonae Keratitis After Excimer Laser Photorefractive Keratectomy

Mycobacterium chelonae Keratitis After Excimer Laser Photorefractive Keratectomy Abstract This is the first report of a severe case of Mycobacterium chelonae keratitis; it occurred in a 26-year-old man after he had undergone excimer laser photorefractive keratectomy for the correction of severe myopia, once the epithelium was already healed. The diagnosis was made by culture results and acid-fast staining of corneal scrapings. Topical ciprofloxacin sodium, 0.3 mg/mL, plus amikacin sodium, 10 mg/mL, and oral clarithromycin sodium led to remission of the ulceration after 3 months of therapy. Subsequent topical corticosteroid therapy led to complete visual recovery during 1 year of follow-up. There may be an increased risk of severe keratitis during the first postoperative months in eyes that have already undergone photorefractive keratectomy, due to the presence of some microepithelial defects symptomatically negative and not easily detectable by slit-lamp examination. References 1. Fulton JC, Cohen EJ, Rapuano CJ. Bacterial ulcer 3 days after excimer laser phototherapeutic keratectomy . Arch Ophthalmol . 1996;114:626-627.Crossref 2. Beldavs RA, Al-Ghamdi S, Wilson LA, Waring GO. Bilateral microbial keratitis after radial keratotomy . Arch Ophthalmol . 1993;111:440.Crossref 3. Heidemann DG, Dunn SP, Watts JC. Aspergillus keratitis after radial keratotomy . Am J Ophthalmol . 1995;120:254-256. 4. Robin JB, Beatty RF, Dunn S, et al. Mycobacterium cheloneikeratitis after radial keratotomy . Am J Ophthalmol . 1986;102:72-79. 5. Gangadharam PRJ, Lanier JD, Jones DE. Keratitis due to Mycobacterium chelonei . Tubercle . 1978;59:55-60.Crossref 6. Bullington RH, Lanier JD, Font RL. Nontuberculous mycobacterial keratitis: report of two cases and review of the literature . Arch Ophthalmol . 1992;110:519-524.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Mycobacterium chelonae Keratitis After Excimer Laser Photorefractive Keratectomy

Loading next page...
 
/lp/american-medical-association/mycobacterium-chelonae-keratitis-after-excimer-laser-photorefractive-tDJdg93zHJ

References (6)

Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1997.01100160486019
Publisher site
See Article on Publisher Site

Abstract

Abstract This is the first report of a severe case of Mycobacterium chelonae keratitis; it occurred in a 26-year-old man after he had undergone excimer laser photorefractive keratectomy for the correction of severe myopia, once the epithelium was already healed. The diagnosis was made by culture results and acid-fast staining of corneal scrapings. Topical ciprofloxacin sodium, 0.3 mg/mL, plus amikacin sodium, 10 mg/mL, and oral clarithromycin sodium led to remission of the ulceration after 3 months of therapy. Subsequent topical corticosteroid therapy led to complete visual recovery during 1 year of follow-up. There may be an increased risk of severe keratitis during the first postoperative months in eyes that have already undergone photorefractive keratectomy, due to the presence of some microepithelial defects symptomatically negative and not easily detectable by slit-lamp examination. References 1. Fulton JC, Cohen EJ, Rapuano CJ. Bacterial ulcer 3 days after excimer laser phototherapeutic keratectomy . Arch Ophthalmol . 1996;114:626-627.Crossref 2. Beldavs RA, Al-Ghamdi S, Wilson LA, Waring GO. Bilateral microbial keratitis after radial keratotomy . Arch Ophthalmol . 1993;111:440.Crossref 3. Heidemann DG, Dunn SP, Watts JC. Aspergillus keratitis after radial keratotomy . Am J Ophthalmol . 1995;120:254-256. 4. Robin JB, Beatty RF, Dunn S, et al. Mycobacterium cheloneikeratitis after radial keratotomy . Am J Ophthalmol . 1986;102:72-79. 5. Gangadharam PRJ, Lanier JD, Jones DE. Keratitis due to Mycobacterium chelonei . Tubercle . 1978;59:55-60.Crossref 6. Bullington RH, Lanier JD, Font RL. Nontuberculous mycobacterial keratitis: report of two cases and review of the literature . Arch Ophthalmol . 1992;110:519-524.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Oct 1, 1997

There are no references for this article.