Post-keratorefractive Surgery Infections: Management Strategies

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• 作者：Angelique Pillar ; Wuqaas M. Munir
• 关键词：Laser ; assisted in situ keratomileusis ; Photorefractive keratectomy ; Keratorefractive surgery ; Infectious keratitis ; Refractive surgery
• 刊名：Current Ophthalmology Reports
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：3
• 期：3
• 页码：139-146
• 全文大小：680 KB
• 参考文献：Papers of particular interest, published recently, have been highlighted as: 鈥?Of importance 鈥⑩€?Of major importance1.Shortt AJ, Allan BDS, Evans JR. Laser-assisted in situ keratomileusis (LASIK) versus photorefractive keratectomy (PRK) for myopia. Cochrane Database Syst Rev. 2013;1:CD005135.PubMed
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• 作者单位：Angelique Pillar (1)
  Wuqaas M. Munir (1)
  
  1. Department of Ophthalmology, University of Maryland School of Medicine, 419 West Redwood Street, Suite 470, Baltimore, MD, 21201, USA
  
• 刊物主题：Ophthalmology;
• 出版者：Springer US
• ISSN：2167-4868

文摘

Infectious keratitis after keratorefractive surgery, although extremely rare, has the potential to be sight-threatening. Key to the management of post-operative bacterial and fungal keratitis is early diagnosis, identification of the causative organism with scrapings, irrigation with clinically appropriate antimicrobials, and subsequent topical antimicrobial drop administration. In non-responsive cases, confocal microscopy or polymerase chain reaction may aid in the identification of the causative organism to guide antimicrobial management.