ABSTRACT
An 84-year-old gentleman underwent uneventful femtolaser-assisted cataract surgery (FLACS) with an arcuate keratotomy (AK) in the left eye. On the 18th post-operative day, a corneal infiltrate developed involving the AK. Staphylococcus epidermidis was the organism isolated on culture. The infiltrate resolved with topical fortified vancomycin and amikacin eyedrops, and the patient regained a visual acuity of 6/6 after 12 weeks. This is the first case from south-east Asia reported in the literature of an infective infiltrate along a femtosecond laser AK. We propose strict peri-operative recommendations to be followed to prevent and treat such infections.
Subject(s)
Cataract Extraction/adverse effects , Cornea/pathology , Eye Infections, Bacterial/etiology , Keratitis/etiology , Keratoplasty, Penetrating/adverse effects , Laser Therapy/adverse effects , Surgical Wound Infection/etiology , Administration, Topical , Aged, 80 and over , Amikacin/administration & dosage , Anti-Bacterial Agents/administration & dosage , Cataract Extraction/methods , Cornea/microbiology , Corneal Topography , Eye Infections, Bacterial/drug therapy , Eye Infections, Bacterial/microbiology , Humans , Keratitis/drug therapy , Keratitis/microbiology , Male , Ophthalmic Solutions , Refraction, Ocular , Reoperation , Staphylococcal Infections/diagnosis , Staphylococcal Infections/drug therapy , Staphylococcal Infections/microbiology , Staphylococcus epidermidis/isolation & purification , Surgical Wound Infection/drug therapy , Surgical Wound Infection/microbiology , Vancomycin/administration & dosage , Visual AcuityABSTRACT
A known diabetic patient presented with diabetic macular edema (DME) and nonproliferative diabetic retinopathy in both eyes with a vision of 6/18, N12in the right eye and 4/60, N36in the left eye (LE). The patient had undergone injection of dexamethasone implant in the LE which got misdirected into the crystalline lens. The patient was taken up for phacoemulsification with intraocular lens implantation along with vitrectomy and posterior vitreous detachment induction, and redirection of the dexamethasone implant into the vitreous cavity. The DME resolved over the next 3 months.
