scholarly journals Fungal keratitis after small incision lenticule extraction (SMILE): a case report and review of the literature

Author(s):  
Mohammad Soleimani ◽  
Ali A. Haydar

Abstract 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 μm/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.

2020 ◽  
Vol 19 ◽  
pp. 100730
Author(s):  
Julian Langer ◽  
Siegfried Priglinger ◽  
Elisabeth M. Messmer ◽  
Martin Dirisamer ◽  
Mehdi Shajari ◽  
...  

2019 ◽  
Vol 7 (1) ◽  
pp. 11-13 ◽  
Author(s):  
Gitansha Shreyas Sachdev ◽  
Shilpi Diwan ◽  
Mahipal S. Sachdev

2017 ◽  
Vol Volume 11 ◽  
pp. 1683-1688 ◽  
Author(s):  
Majid Moshirfar ◽  
Julio Albarracin ◽  
Jordan Desautels ◽  
Orry Birdsong ◽  
Steven H Linn ◽  
...  

2016 ◽  
Vol 42 (4) ◽  
pp. 626-630 ◽  
Author(s):  
Ismaël Chehaibou ◽  
Otman Sandali ◽  
Barbara Ameline ◽  
Nacim Bouheraoua ◽  
Vincent Borderie ◽  
...  

2019 ◽  
Author(s):  
YangCheng Zou ◽  
Kaiwei Cao ◽  
Ting Yu ◽  
Ji Bai ◽  
Ting Liu

Abstract A 28-year-old female patient (right eye: -3.75DS, left eye: -4.00DS) underwent bilateral small incision lenticule extraction. One week after small incision lenticule extraction, her left eye uncorrected distance visual acuity (UDVA) did not reach her preoperative best corrected distance visual acu¬ity (BCDVA) as expected. Examination confirmed that corneal stromal lens fragments remained in the left eye. The lens fragments were removed with a second surgery, and the patient's vision was restored to her preoperative BCDVA. The results of this case yield the following suggestions: ① The lens separation method must be gentle and performed in the same plane. ② It is necessary to confirm the integrity of the lens after the lens is removed.


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