ABSTRACT
PURPOSE: A survey of eyes with pre-laser in situ keratomileusis (LASIK) retinal examinations and characteristics of post-LASIK retinal breaks and retinal detachments (RDs). METHODS: A survey of worldwide vitreoretinal surgeons (424 physicians). Surveyed information included demographics, best-corrected visual acuity, degree of myopia, pre- and post-LASIK retinal findings, follow-up time, and treatment outcome. RESULTS: Sixty eyes with pre-LASIK retinal examinations developed post-LASIK retinal breaks and RDs. There was an average of 2.3 breaks per eye, yielding a total of 140 breaks in the 60 eyes. Forty eyes also had RDs besides the retinal breaks. Large percentages of eyes had substantial myopia (mean myopia, -9.5 +/- 5.8 diopters [D]) and complex vitreoretinal complications. Forty percent developed vitreoretinal complications within 6 months after LASIK. The 20 eyes that developed more extensive RDs (>3 clock hours) had a significantly higher mean myopia than did the 6 eyes that developed limited RD (< or = 3 clock hours) within 12 months after LASIK (-8.92 +/- 6.82 D versus -3.50 +/- 1.97 D, P = 0.03). There were significant statistical differences in distribution of retinal breaks and tears between the temporal and nasal quadrants (P < 0.001, P < 0.001, respectively, chi2, but not between the superior and inferior quadrants. CONCLUSION: Distributions of retinal breaks in this study were comparable with results found in non-LASIK eyes in young myopes. Treatment for post-LASIK vitreoretinal complications was highly successful. The vulnerability of such highly myopic eyes for vitreoretinal complications warrants their close monitoring.
Subject(s)
Keratomileusis, Laser In Situ/adverse effects , Myopia/surgery , Postoperative Complications , Retinal Detachment/etiology , Retinal Perforations/etiology , Adolescent , Adult , Cornea/surgery , Cryotherapy , Diagnostic Techniques, Ophthalmological , Female , Humans , Laser Therapy , Male , Middle Aged , Retinal Detachment/diagnosis , Retinal Detachment/surgery , Retinal Perforations/diagnosis , Retinal Perforations/surgery , Retrospective Studies , Scleral Buckling , VitrectomyABSTRACT
PURPOSE: To report a case of corneal co-infection of Stenotrophomonas maltophilia and Aspergillus fumigatus. METHODS: We describe a culture and biopsy proven infectious keratitis with a large, brown, round anterior chamber mass attached to the endothelium. RESULTS: Stenotrophomonas maltophilia was cultured from external scrapings of a corneal ulcer and septate hyphae were stained with Gomori's methenamine silver(GMS) stain along the wall of the excised intracameral mass. Aspergillus fumigatus was cultured from the mass and pus pockets developed along the corneoscleral incision for removal of the mass. CONCLUSION: Co-infection of cornea with Stenotrophomonas maltophilia and Aspergillus fumigatus with existence of a large, brown, smooth-surfaced mass in the anterior chamber makes this case unique and interesting.
