Abstract Infectious keratitis following radial keratotomy is a rare but dreaded complication of this surgical procedure. Early-onset keratitis has been reported as early as 3 days but more often within 1 to 2 weeks after radial keratotomy.1-3 One or two of the incisions are usually involved.1,2 We report a case of infectious keratitis that developed on the first postoperative day and eventually involved all of the incisions. Report of a Case. A 52-year-old white man underwent an eight-incision radial keratotomy with two T cuts in the right eye for a cycloplegic refraction of −3.00−2.50×15. There were no complications at surgery. One drop of 0.3% ciprofloxacin hydrochloride was placed in the eye along with a diclofenac sodium (Voltaren)-soaked collagen shield.On the first postoperative day, the patient's uncorrected visual acuity was 20/25 and he had no complaints. The operating surgeon noted stromal infiltrates (Figure) and referred the patient for immediate References 1. Rashid ER, Waring GO. Complications of radial and transverse keratotomy . Surv Ophthalmol . 1989;34:73-106.Crossref 2. Matoba AY, Torres J, Wilhelmus KR, Hamill MB, Jones DB. Bacterial keratitis after radial keratotomy . Ophthalmology . 1989;96:1171-1175.Crossref 3. Robin JB, Beatty RF, Dunn S, et al. Mycobacterium chelonei keratitis after radial keratotomy . Am J Ophthalmol . 1986;102:72.
Archives of Ophthalmology – American Medical Association
Published: Dec 1, 1994