期刊
JOURNAL OF OPHTHALMIC INFLAMMATION AND INFECTION
卷 11, 期 1, 页码 -出版社
SPRINGER
DOI: 10.1186/s12348-021-00256-0
关键词
Infectious keratitis; Fungal keratitis; Aspergillus; SMILE; Penetrating keratoplasty
A 41-year-old woman developed infectious keratitis after SMILE, which was eventually treated with PKP, leading to successful eradication of the infection.
Purpose: To report a case of perforated fungal keratitis after small incision lenticule extraction (SMILE) treated with penetrating keratoplasty (PKP). Methods: Case report and literature review. Results: A 41-year-old woman presented with culture-proven unilateral fungal keratitis 4 days after uneventful SMILE. Her visual acuity was hand motion. The patient was treated with voriconazole irrigation (50 mu m/0.1 ml) of the pocket and intrastromal voriconazole injection, in addition to systemic and topical antifungals. Despite aggressive management and decreased infiltration, the cornea was perforated and subsequently treated with PKP. Conclusions: Infectious keratitis after SMILE is unusual. To our knowledge, this is the first report of perforated fungal keratitis post-SMILE. PKP eradicated the infection.
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