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Mycobacterium abscessus keratitis after LASIK with IntraLase ® femtosecond laser

Authors
 Chung S.-H.  ;  Roh M.I.  ;  Park M.S.  ;  Kong Y.T.  ;  Lee H.K.  ;  Kim E.K 
Citation
 Ophthalmologica, Vol.220(4) : 277-280, 2006 
Journal Title
 Ophthalmologica 
ISSN
 0030-3755 
Issue Date
2006
Abstract
A healthy 38-year-old woman developed 2 white spots in her left eye 2 weeks after bilateral laser in situ keratomileusis (LASIK) using the IntraLase femtosecond laser. Initial treatment included levofloxacin 0.5% but was unsuccessful. The surgeon irrigated the interface and repositioned the flap due to a worsened lesion. She was referred to us after the keratitis had not improved. The flap was lifted for collection of the specimen and irrigation of the interface. The keratitis was treated with intensive topical clarithromycin 1%, amikacin 1.25% and oral clarithromycin, which improved her clinical condition. She developed a toxic reaction to amikacin 1.25%, which was replaced by moxifloxacin 0.5%. Mycobacterium abscessus was identified. The keratitis resolved over 2 months. Five months after treatment, the patient had a visual acuity of 20/20 with correction. Nontuberculous mycobacteria should be considered as an etiologic agent, even in cases of infectious keratitis after LASIK using the femtosecond laser.
Full Text
http://www.karger.com/Article/FullText/93084
DOI
10.1159/000093084
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eung Kweon(김응권) ORCID logo https://orcid.org/0000-0002-1453-8042
Lee, Hyung Keun(이형근) ORCID logo https://orcid.org/0000-0002-1123-2136
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110498
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