Methicillin-resistant Staphylococcus aureus ulcerative keratitis after laser in situ keratomileusis

J Cataract Refract Surg. 2001 Sep;27(9):1523-5. doi: 10.1016/s0886-3350(00)00783-5.

Abstract

We report the first case of methicillin-resistant Staphylococcus aureus (MRSA) ulcerative keratitis after routine bilateral laser in situ keratomileusis. Within 24 hours of initial ulceration the lamellar flap melted, disintegrating into necrotic fragments. Recognition of lamellar flap infections followed by immediate medical and surgical management is critical to preserving vision.

Publication types

  • Case Reports

MeSH terms

  • Corneal Stroma / microbiology
  • Corneal Stroma / pathology
  • Corneal Ulcer / drug therapy
  • Corneal Ulcer / microbiology*
  • Corneal Ulcer / pathology
  • Drug Therapy, Combination / therapeutic use
  • Eye Infections, Bacterial / drug therapy
  • Eye Infections, Bacterial / microbiology*
  • Eye Infections, Bacterial / pathology
  • Female
  • Humans
  • Keratomileusis, Laser In Situ*
  • Methicillin / therapeutic use
  • Methicillin Resistance*
  • Middle Aged
  • Necrosis
  • Penicillins / therapeutic use
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / microbiology*
  • Staphylococcal Infections / pathology
  • Staphylococcus aureus / drug effects
  • Staphylococcus aureus / isolation & purification*
  • Surgical Flaps
  • Surgical Wound Infection / drug therapy
  • Surgical Wound Infection / microbiology*
  • Surgical Wound Infection / pathology

Substances

  • Penicillins
  • Methicillin