Suppurative keratitis: A late complication of radial keratotomy

@article{Mcclellan1988SuppurativeKA,
  title={Suppurative keratitis: A late complication of radial keratotomy},
  author={K. Mcclellan and Peter J. Bernard and John Gregory‐Roberts and Frank A. Billson},
  journal={Journal of Cataract and Refractive Surgery},
  year={1988},
  volume={14},
  pages={317–320}
}
ABSTRACT A 21‐year‐old man who had radial keratotomy performed two years previously presented with a painful, red right eye. Suppurative keratitis was found in one of the eight radial incisions and Staphylococcus epidermidis was isolated by culture. Lack of stromal healing of the infected incision and the presence of epithelial cysts in four other incisions in the same eye suggest that the cause of the corneal infection was loss of the epithelial barrier function because of epithelial breakdown… Expand
8 Citations
Keratitis complicated by endophthalmitis 3 years after astigmatic keratotomy
TLDR
Vigorous, early treatment and close follow-up seem justifiable in any keratitis associated with a keratotomy incision, as this case demonstrates the potential risk of endophthalmitis developing very shortly after late ker atitis of AK incisions. Expand
Late-onset Pseudomonas keratitis after radial keratotomy and subsequent laser in situ keratomileusis: case report and literature review.
TLDR
A case of Pseudomonas keratitis presenting 15 years after RK is presented and reported cases of delayed-onset bacterial keratococcus are reviewed, including spectrum of microorganisms, pathogenesis, possible risk factors, treatment and visual outcome are reviewed. Expand
Bacterial keratitis after radial keratotomy.
TLDR
Gram-negative rods were the predominant pathogens in late-onset keratitis (4 of 6 infections) and Gram-positive cocci were implicated in all three postoperative infections. Expand
Culture-negative ulcerative keratitis after laser in situ keratomileusis.
TLDR
A 40-year old man, highly myopic in both eyes, had laser in situ keratomileusis (LASIK) in the left eye in November 1996, and uncorrected visual acuity was 20/70, correctable to 20/25 with spectacles. Expand
Microbial investigations in keratitis at the Sydney Eye Hospital.
TLDR
Retrospective review of the clinical records of patients presenting to the Sydney Eye Hospital between October 1986 and August 1988 showed that herpes simplex virus, contact lens wear, staphylococcal marginal ker atitis and recurrent erosion were important causes of keratitis in this group. Expand
Endophthalmitis and orbital cellulitis after radial keratotomy.
TLDR
Severe bacterial endophthalmitis can occur after radial keratotomy surgery, even in the absence of microperforation during the procedure. Expand
Complications of radial and transverse keratotomy.
TLDR
Complications, such as scarring from intersecting keratotomy incisions, irregular astigmatism resulting from multiple reoperations, and overcorrections with the attendant early onset of symptomatic presbyopia are becoming much less frequent. Expand
A return to primitive practice? Radial keratotomy revisited.
  • J. Bergmanson, E. Farmer
  • Medicine
  • Contact lens & anterior eye : the journal of the British Contact Lens Association
  • 1999
TLDR
It was found that current data do not support the notion that RK results in better visual outcomes than PRK and LASIK, and RK is not the preferred methodology because of its associated chronic visual and corneal health complications. Expand

References

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TLDR
A 26-year old woman underwent radial keratotomy combined with concentric trephination six months prior to development of multiple epithelial inclusion cysts, resulting in the first report of a failure in corneal wound healing associated with microcystic degeneration of the epithelium following radial Keratotomy. Expand
Radial keratotomy complicated by sterile keratitis and corneal perforation. Histopathologic case report and review of complications.
TLDR
Histopathology of the cornea demonstrated epithelial edema and persistent incisional epithelial plug formation, deep and superficial vascularization, variable incision depth, endothelial cell loss, and inflammatory cell infiltration at all levels of the Cornea. Expand
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TLDR
Staphylococcus epidermis endophthalmitis developed nine days after surgery in a 47-year-old man who underwent a 16-incision radial keratotomy during which the cornea was inadvertently perforated, and visual acuity decreased to counting fingers at 1 foot. Expand
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TLDR
It is hypothesize that the altered structure of the slowly healing keratotomy incisions coupled with redistribution of the tear film due to changes in corneal topography may result in intermittent epithelial irregularities, which alone or in conjunction with any form of mechanical or hypoxic cornea injury, may predispose to cornea infection. Expand
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TLDR
This is the first report in the literature of delayed keratitis occurring as a late complication after radial keratotomy, and delayed wound healing and epithelial inclusion cysts are likely causes. Expand
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TLDR
Analysis of this specimen suggests RK may carry a risk of optical and visual aberrations by producing multiple defects in the anterior and posterior aspects of the cornea. Expand
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TLDR
An intumescent cataract developed 16 weeks after radial keratotomy in a 31-year-old man and soft contact lens correction of aphakia recovered a visual acuity of 6/6. Expand
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TLDR
A 31-year-old man with myopia underwent bilateral radial keratotomy and the postoperative uncorrected visual acuity was excellent in both eyes until a cataract suddenly developed in the left eye 3 1/2 months after the procedure. Expand
Cataract following radial keratotomy.
TLDR
A 31-year-old man with myopia underwent bilateral radial keratotomy, and the postoperative uncorrected visual acuity was excellent in both eyes until a cataract suddenly developed in the left eye 3 1/2 months after the procedure. Expand
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TLDR
The morphological evaluation of these specimens show the potential for a poor wound-healing response when corneas with previous corneal surgery and/or pathologic states undergo radial keratotomy. Expand
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