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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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
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author Soleimani, Mohammad
Haydar, Ali A.
author_facet Soleimani, Mohammad
Haydar, Ali A.
author_sort Soleimani, Mohammad
collection PubMed
description 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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spelling pubmed-84134202021-09-22 Fungal keratitis after small incision lenticule extraction (SMILE): a case report and review of the literature Soleimani, Mohammad Haydar, Ali A. J Ophthalmic Inflamm Infect Brief Report 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. Springer Berlin Heidelberg 2021-09-03 /pmc/articles/PMC8413420/ /pubmed/34476600 http://dx.doi.org/10.1186/s12348-021-00256-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Brief Report
Soleimani, Mohammad
Haydar, Ali A.
Fungal keratitis after small incision lenticule extraction (SMILE): a case report and review of the literature
title Fungal keratitis after small incision lenticule extraction (SMILE): a case report and review of the literature
title_full Fungal keratitis after small incision lenticule extraction (SMILE): a case report and review of the literature
title_fullStr Fungal keratitis after small incision lenticule extraction (SMILE): a case report and review of the literature
title_full_unstemmed Fungal keratitis after small incision lenticule extraction (SMILE): a case report and review of the literature
title_short Fungal keratitis after small incision lenticule extraction (SMILE): a case report and review of the literature
title_sort fungal keratitis after small incision lenticule extraction (smile): a case report and review of the literature
topic Brief Report
url 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
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