Document Detail


Keratitis after implantation of intrastromal corneal ring segments (intacs) aided by femtosecond laser for keratoconus correction: case report and description of the literature.
MedLine Citation:
PMID:  20155711     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PURPOSE: The majority of reported cases of infectious keratitis after intrastromal corneal ring segment implantation have been described after mechanical implantation of the segments. We present a case of keratitis after implantation of intrastromal corneal ring segments (Intacs) aided by femtosecond laser for keratoconus correction and review the relevant literature.
METHODS: A 31-year-old woman with keratoconus underwent uneventful sequential implantation of intrastromal corneal ring segments (Intacs) aided by femtosecond laser performed 6 weeks apart. Two months after surgery in the second eye, she complained of red eye, pain, and decreased vision of 2 days' duration. Left eye visual acuity was 20/100.
RESULTS: Slit-lamp examination of the left eye revealed a stromal infiltrate at the lower segment near the incision site. The infiltrate progressed despite topical treatment of vancomycin and ceftazidime. Cultures were negative. The inferior segment was removed and the inferior channel irrigated with antibiotics. One day later significant fibrin and 1-mm hypopyon were detected in the anterior chamber Significant improvement was observed after adding topical amikacin and amphotericin B. Six months later, a small stromal scar is present at the inferior incision site and best-corrected visual acuity is 20/25.
CONCLUSIONS: To our knowledge, this is the second reported case of keratitis after implantation of intrastromal corneal ring segments (Intacs) aided by femtosecond laser for keratoconus correction. Prompt and adequate treatment is essential to prevent irreversible reduction of visual acuity.
Authors:
Jaime Levy; Tova Lifshitz
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of ophthalmology     Volume:  20     ISSN:  1120-6721     ISO Abbreviation:  Eur J Ophthalmol     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2011-05-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9110772     Medline TA:  Eur J Ophthalmol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  780-4     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel. ljaime@bgu.ac.il
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