RESUMEN
A 29-year-old woman who underwent laser in situ keratomileusis (LASIK) for myopic astigmatism in both eyes presented with severe pain, photophobia and decreased visual acuity in the left eye eight days after surgery. Examination revealed severe anterior uveitis with fibrinous exudates in the anterior chamber, flap edema and epithelial bullae. Laboratory investigations for uveitis were negative and the patient required systemic and intensive topical steroids with cycloplegics to control the inflammation. This case demonstrates that severe anterior uveitis may develop after LASIK and needs prompt and vigorous management for resolution.
Asunto(s)
Administración Tópica , Adulto , Antiinflamatorios/administración & dosificación , Astigmatismo/complicaciones , Astigmatismo/cirugía , Ciclopentolato/administración & dosificación , Esquema de Medicación , Exudados y Transudados/metabolismo , Femenino , Humanos , Queratomileusis por Láser In Situ/efectos adversos , Midriáticos/uso terapéutico , Miopía/complicaciones , Miopía/cirugía , Prednisolona/administración & dosificación , Prednisolona/análogos & derivados , Esteroides/administración & dosificación , Uveítis Anterior/tratamiento farmacológico , Uveítis Anterior/etiología , Uveítis Anterior/metabolismo , Uveítis Anterior/patologíaRESUMEN
Bilateral keratitis usually occurs in predisposed individuals such as contact lens wearers, those suffering from malnutrition and immunodeficiency or patients undergoing bilateral refractive corneal surgery. We report a 30-year-old man without any obvious predisposing factors who presented with complaints of pain and decreased vision in both eyes. Examination revealed corneal ulcers in both eyes, which on microbiological culture grew Pseudomonas aeruginosa. The patient underwent a therapeutic keratoplasty in the right eye while the left eye was managed medically. Bilateral Pseudomonas keratitis can develop in the absence of any obvious predisposing factors.
Asunto(s)
Adulto , Trasplante de Córnea , Infecciones Fúngicas del Ojo/etiología , Humanos , Queratitis/microbiología , Masculino , Infecciones por Pseudomonas/etiologíaRESUMEN
Presence of exfoliation syndrome (XFS) is associated with an increased risk of complications during cataract surgery. This risk is, in part, dependent on the severity of XFS. We describe a central bulge ("lenticonus") in the anterior lens capsule of some eyes with XFS. This finding is associated with very fragile zonules and a high risk for intraoperative zonular dialysis.