Methicillin-resistant Staphylococcus aureus keratitis after laser in situ keratomileusis

J Cataract Refract Surg. 2001 Mar;27(3):471-3. doi: 10.1016/s0886-3350(00)00882-8.

Abstract

A 50-year-old man had uneventful bilateral laser in situ keratomileusis (LASIK) for moderate myopia (-4.50 diopters sphere, both eyes). Twelve days postoperatively, he developed unilateral bacterial keratitis. Cultures revealed methicillin-resistant Staphylococcus aureus. The antibiotic regimen was adjusted, and he regained an uncorrected visual acuity of 20/40 and a best spectacle-corrected visual acuity (BSCVA) of 20/15. Bacterial keratitis after LASIK is a rare occurrence. Aggressive use of cultures and fortified antibiotics can prevent significant loss of BSCVA, even when a resistant organism is the cause.

Publication types

  • Case Reports

MeSH terms

  • Corneal Topography
  • Drug Therapy, Combination / therapeutic use
  • Eye Infections, Bacterial* / diagnosis
  • Eye Infections, Bacterial* / drug therapy
  • Eye Infections, Bacterial* / microbiology
  • Humans
  • Keratitis / diagnosis
  • Keratitis / drug therapy
  • Keratitis / microbiology*
  • Keratomileusis, Laser In Situ / adverse effects*
  • Male
  • Methicillin / therapeutic use
  • Methicillin Resistance*
  • Middle Aged
  • Myopia / surgery
  • Staphylococcal Infections* / diagnosis
  • Staphylococcal Infections* / drug therapy
  • Staphylococcal Infections* / microbiology
  • Staphylococcus aureus / drug effects
  • Staphylococcus aureus / isolation & purification*
  • Visual Acuity

Substances

  • Methicillin