Titre du document / Document title

Acanthamoeba keratitis after LASIK

Auteur(s) / Author(s)

BALASUBRAMANYA Ramamurthy ⁽¹⁾ ; GARG Prashant ⁽¹⁾ ; SHARMA Savitri ⁽²⁾ ; VEMUGANTI Geeta K. ⁽³⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Cornea & Anterior Segment Service, L.V. Prasad Eye Institute, Hyderabad, INDE
⁽²⁾ The Jhaveri Microbiology Centre, L.V. Prasad Eye Institute, Hyderabad, INDE
⁽³⁾ Ophthalmic Pathology Services, L.V. Prasad Eye Institute, Hyderabad, INDE

Résumé / Abstract

PURPOSE: To report a case of Acanthamoeba infection following LASIK. METHODS: A 20-year-old woman developed pain, redness, decreased vision, and corneal infiltrate in the right eye 15 days after bilateral LASIK. She did not use contact lenses postoperatively. Patient examination 3 months after surgery revealed a large, central, full-thickness corneal infiltrate with multiple satellite lesions in the right eye. Corneal scrapings were taken and the flap excised, and submitted for histopathologic examination. RESULTS: Microscopic examination of smears revealed Acanthamoeba cysts and non-nutrient agar showed a significant growth of Acanthamoeba. Histopathology examination of the excised flap demonstrated numerous Acanthamoeba cysts in tissue sections. The infiltrate was treated with a combination of topical polyhexamethylene biguanide, chlorhexidine, atropine sulfate, and oral itraconazole and resolved within 2 months. CONCLUSIONS: Laser in situ keratomileusis can be complicated by Acanthamoeba infection. Microbiologic evaluation is essential for accurate early diagnosis and treatment.

Revue / Journal Title

Journal of refractive surgery   ISSN 1081-597X   CODEN JRSUFZ 

Source / Source

2006, vol. 22, n^o6, pp. 616-617 [2 page(s) (article)] (3 ref.)

Langue / Language

Anglais

Editeur / Publisher

Slack, Thorofare, NJ, ETATS-UNIS  (1995) (Revue)

Mots-clés anglais / English Keywords

Anterior segment disease ; Eye disease ; Keratopathy ; Protozoa ; Lobosea ; Treatment ; Ophthalmology ; Surgery ; Postoperative ; Acanthamoeba ; Keratitis ;

Mots-clés français / French Keywords

Segment antérieur pathologie ; Oeil pathologie ; Kératopathie ; Protozoa ; Lobosea ; Traitement ; Ophtalmologie ; Chirurgie ; Postopératoire ; Acanthamoeba ; Kératite ;

Mots-clés espagnols / Spanish Keywords

Segmento anterior patología ; Ojo patología ; Queratopatía ; Protozoa ; Lobosea ; Tratamiento ; Oftalmología ; Cirugía ; Postoperatorio ; Acanthamoeba ; Queratitis ;

Localisation / Location

INIST-CNRS, Cote INIST : 21122, 35400011569028.0140