Journal of the Korean Ophthalmological Society 1999;40(12):3521-3525.
Published online December 1, 1999.
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)
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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