Fungal keratitis after small incision lenticule extraction (SMILE): a case report and review of the literature

PURPOSE: To report a case of perforated fungal keratitis after small incision lenticule extraction (SMILE) treated with penetrating keratoplasty (PKP). METHODS: Case report and literature review. RESULTS: A 41-year-old woman presented with culture-proven unilateral fungal keratitis 4 days after unev...

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Detalles Bibliográficos
Autores principales: Soleimani, Mohammad, Haydar, Ali A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Brief Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8413420/
https://www.ncbi.nlm.nih.gov/pubmed/34476600
http://dx.doi.org/10.1186/s12348-021-00256-0
Descripción
Sumario:PURPOSE: To report a case of perforated fungal keratitis after small incision lenticule extraction (SMILE) treated with penetrating keratoplasty (PKP). METHODS: Case report and literature review. RESULTS: A 41-year-old woman presented with culture-proven unilateral fungal keratitis 4 days after uneventful SMILE. Her visual acuity was hand motion. The patient was treated with voriconazole irrigation (50 μm/0.1 ml) of the pocket and intrastromal voriconazole injection, in addition to systemic and topical antifungals. Despite aggressive management and decreased infiltration, the cornea was perforated and subsequently treated with PKP. CONCLUSIONS: Infectious keratitis after SMILE is unusual. To our knowledge, this is the first report of perforated fungal keratitis post-SMILE. PKP eradicated the infection.

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