A Case of Endophthalmitis after Laser in situ Keratomi leusis[LASIK]. |
Hyun Hu Lee, Sung Pyo Park, Tae Hoon Choi, Ha Bum Lee |
레이저 각막절삭가공성형술 ( LASIK ) 후 발생한 안내염 1 례 |
이현후(Hyun Hu Lee),박성표(Sung Pyo Park),최태훈(Tae Hoon Choi),이하범(Ha Bum Lee) |
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Abstract |
Laser in situ keratomileusis[LASIK] is a refractive surgical procedure that is effective in treating myopia and astigmatism. The incidence of corneal infection after LASIK is approximately 0.02% according to international experience. We experience the case of a 20-year old man who developed endophthalmitis; corneal edema, epithelial defect, hypopyon was found 2 days after LASIK. He was immediately given intravenous and subconjuntival injection[tobramycin and ceftazidime] and topical fortified eyedrop[tobramycin and ceftazidime]. The microbiologic study revealed Serratia marcescens as the causative organism. Three days after therapy was instituted, the hypopyon resolved. After 4 months of LASIK, visual acuity was 1.0 and maintained recently. We report a case of endophthalmitis after LASIK by Serratia marcescens which detected early and treated by antibiotics. In addition, close postoperative surveillance and education for hygiene was required on early postoperative period. |
Key Words:
LASIK;Laser in situ keratomileusis;Endophthalmitis;Serratia marcescens |
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