J Korean Ophthalmol Soc.  1999 Dec;40(12):3521-3525.

A Case of Endophthalmitis after Laser in situ Keratomi leusis[LASIK]

• Lee HH
• Park SP
• Choi TH
• Lee HB

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.

Keyword

LASIK; Laser in situ keratomileusis; Endophthalmitis; Serratia marcescens

MeSH Terms

Anti-Bacterial Agents
Astigmatism
Corneal Edema
Education
Endophthalmitis*
Humans
Hygiene
Incidence
Keratomileusis, Laser In Situ
Myopia
Postoperative Period
Refractive Surgical Procedures
Serratia marcescens
Visual Acuity
Young Adult
Anti-Bacterial Agents