Nocardia keratitis after traumatic detachment of a laser in situ keratomileusis flap

Eungkweon Kim, Dong H. Lee, Kyungwon Lee, Seung J. Lim, S. Yoon, Young G. Lee

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

PURPOSE: Nocardia are gram-positive bacteria existing ubiquitously in the environment; they can cause keratitis. Nocardia asteroides keratitis occurred in the interface between the stromal bed and flap after traumatic detachment of the flap 4 months after an initially uncomplicated laser in situ keratomileusis (LASIK) procedure. METHODS: Nocardia asteroides keratitis was confirmed by culture. Therapy included topical and oral trimethoprim-sulfamethoxazole. RESULTS: Thirteen months after the trauma, the patient's spectacle-corrected visual acuity was 20/20 with a manifest refraction of -2.25 -1.00 x 30°. CONCLUSIONS: The immediate steps of management consisting of surgically lifting the corneal flap, rapid microbial identification, and proper treatment with specific antibiotics resulted in the successful treatment of Nocardia asteroides keratitis in a traumatized eye after LASIK.

Original languageEnglish
Pages (from-to)467-469
Number of pages3
JournalJournal of Refractive Surgery
Volume16
Issue number4
Publication statusPublished - 2000 Jul 1

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Nocardia
Laser In Situ Keratomileusis
Keratitis
Nocardia asteroides
Sulfamethoxazole Drug Combination Trimethoprim
Gram-Positive Bacteria
Visual Acuity
Therapeutics
Anti-Bacterial Agents
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery
  • Ophthalmology

Cite this

Kim, Eungkweon ; Lee, Dong H. ; Lee, Kyungwon ; Lim, Seung J. ; Yoon, S. ; Lee, Young G. / Nocardia keratitis after traumatic detachment of a laser in situ keratomileusis flap. In: Journal of Refractive Surgery. 2000 ; Vol. 16, No. 4. pp. 467-469.
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Nocardia keratitis after traumatic detachment of a laser in situ keratomileusis flap. / Kim, Eungkweon; Lee, Dong H.; Lee, Kyungwon; Lim, Seung J.; Yoon, S.; Lee, Young G.

In: Journal of Refractive Surgery, Vol. 16, No. 4, 01.07.2000, p. 467-469.

Research output: Contribution to journalArticle

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T1 - Nocardia keratitis after traumatic detachment of a laser in situ keratomileusis flap

AU - Kim, Eungkweon

AU - Lee, Dong H.

AU - Lee, Kyungwon

AU - Lim, Seung J.

AU - Yoon, S.

AU - Lee, Young G.

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N2 - PURPOSE: Nocardia are gram-positive bacteria existing ubiquitously in the environment; they can cause keratitis. Nocardia asteroides keratitis occurred in the interface between the stromal bed and flap after traumatic detachment of the flap 4 months after an initially uncomplicated laser in situ keratomileusis (LASIK) procedure. METHODS: Nocardia asteroides keratitis was confirmed by culture. Therapy included topical and oral trimethoprim-sulfamethoxazole. RESULTS: Thirteen months after the trauma, the patient's spectacle-corrected visual acuity was 20/20 with a manifest refraction of -2.25 -1.00 x 30°. CONCLUSIONS: The immediate steps of management consisting of surgically lifting the corneal flap, rapid microbial identification, and proper treatment with specific antibiotics resulted in the successful treatment of Nocardia asteroides keratitis in a traumatized eye after LASIK.

AB - PURPOSE: Nocardia are gram-positive bacteria existing ubiquitously in the environment; they can cause keratitis. Nocardia asteroides keratitis occurred in the interface between the stromal bed and flap after traumatic detachment of the flap 4 months after an initially uncomplicated laser in situ keratomileusis (LASIK) procedure. METHODS: Nocardia asteroides keratitis was confirmed by culture. Therapy included topical and oral trimethoprim-sulfamethoxazole. RESULTS: Thirteen months after the trauma, the patient's spectacle-corrected visual acuity was 20/20 with a manifest refraction of -2.25 -1.00 x 30°. CONCLUSIONS: The immediate steps of management consisting of surgically lifting the corneal flap, rapid microbial identification, and proper treatment with specific antibiotics resulted in the successful treatment of Nocardia asteroides keratitis in a traumatized eye after LASIK.

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