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Journal of Ophthalmic Inflammation and Infection

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Open Access 01-12-2013 | Brief report

Endophthalmitis following photorefractive keratectomy with a history of radial keratotomy: a case report

Authors: Peter A Karth, John W Karth

Published in: Journal of Ophthalmic Inflammation and Infection | Issue 1/2013

Abstract

Background

We report the case of an 81-year-old woman with a history of radial keratotomy 9 years prior who developed endophthalmitis without preceding keratitis 4 days after uneventful photorefractive keratectomy surgery. This case report utilized clinical examination and microbacterial laboratory findings.

Findings

Diagnosis of bacterial endophthalmitis was made via clinical examination and cultured vitreous tap which grew methicillin-resistant Staphylococcus aureus. No preceding keratitis was seen on exam. The patient responded to intravitreal antibiotics.

Conclusions

We believe that the epithelium removed during the photorefractive keratectomy procedure may have uncovered areas of full-thickness radial keratotomy incisions allowing bacterial ingress, causing bacterial endophthalmitis without preceding keratitis.

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Title: Endophthalmitis following photorefractive keratectomy with a history of radial keratotomy: a case report
Authors: Peter A Karth
John W Karth
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Journal of Ophthalmic Inflammation and Infection / Issue 1/2013
Electronic ISSN: 1869-5760
DOI: https://doi.org/10.1186/1869-5760-3-31

At a glance: The STEP trials

Springer Medicine

Endophthalmitis following photorefractive keratectomy with a history of radial keratotomy: a case report

Abstract

Background

Findings

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Findings

Conclusions

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