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Nocardia keratitis after traumatic detachment of a laser in situ keratomileusis flap

Authors
 Kim, Eung K  ;  Lee, Dong H  ;  Lee, Kyungwon  ;  Lim, Seung J  ;  Yoon, Il 
Citation
 Journal of Refractive Surgery, Vol.16(4) : 467-469, 2000 
Journal Title
JOURNAL OF REFRACTIVE SURGERY
ISSN
 1081-597X 
Issue Date
2000
MeSH
Adult ; Anti-Bacterial Agents/administration & dosage ; Cornea/microbiology ; Cornea/surgery ; Corneal Injuries* ; Drug Therapy, Combination ; Eye Infections, Bacterial*/drug therapy ; Eye Infections, Bacterial*/microbiology ; Eye Injuries/microbiology* ; Humans ; Keratitis/drug therapy ; Keratitis/microbiology* ; Keratomileusis, Laser In Situ* ; Male ; Nocardia Infections/drug therapy ; Nocardia Infections/microbiology* ; Nocardia asteroides/isolation & purification ; Ophthalmic Solutions ; Sulfamethoxazole/administration & dosage ; Surgical Flaps*/microbiology* ; Trimethoprim/administration & dosage ; Visual Acuity ; Wounds, Nonpenetrating/complications
Abstract
PURPOSE: Nocardia are gram-positive bacteria existing ubiquitously in the environment; they can cause keratitis. Nocardia asteroides keratitis occurred in the interface between the stromal bed and flap after traumatic detachment of the flap 4 months after an initially uncomplicated laser in situ keratomileusis (LASIK) procedure. METHODS: Nocardia asteroides keratitis was confirmed by culture. Therapy included topical and oral trimethoprim-sulfamethoxazole. RESULTS: Thirteen months after the trauma, the patient's spectacle-corrected visual acuity was 20/20 with a manifest refraction of -2.25 -1.00 x 30 degrees. CONCLUSIONS: The immediate steps of management consisting of surgically lifting the corneal flap, rapid microbial identification, and proper treatment with specific antibiotics resulted in the successful treatment of Nocardia asteroides keratitis in a traumatized eye after LASIK.
Full Text
https://search.proquest.com/docview/867024897/6CC59EF3755A4885PQ/3?accountid=15179
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
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, Kyungwon(이경원) ORCID logo https://orcid.org/0000-0003-3788-2134
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171740
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