Acute hydrops with secondary bacterial keratitis: sequelae of paediatric refractive surgery
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- 作者：Pooja Bandivadekar (1)
Namrata Sharma (1)
Ganesh Pillai (1)
Tushar Agarwal (1)
Jeewan S. Titiyal (1) - 关键词：Paediatric refractive surgery ; Radial keratotomy ; Photorefractive keratectomy ; Bacterial keratitis
- 刊名：International Ophthalmology
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：34
- 期：6
- 页码：1275-1278
- 全文大小：458 KB
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Namrata Sharma (1)
Ganesh Pillai (1)
Tushar Agarwal (1)
Jeewan S. Titiyal (1)
1. Cornea & Refractive Surgery Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India - ISSN：1573-2630
文摘
A 24-year-old male patient with bilateral high myopia presented to our outpatient department with sudden onset of pain and diminution of vision in his right eye. He had sequentially undergone bilateral trabeculectomy and photorefractive keratectomy at the age of 6?years in both eyes. This was followed by radial keratotomy in right eye at the age of 8?years. The slit lamp examination demonstrated the presence of infiltrates in central cornea with an underlying fluid cleft, along with 14 radial keratotomy scars. Anterior segment optical coherence tomography confirmed the presence of intrastromal cleft in communication with anterior chamber. Bacterial culture revealed coagulase-negative Staphylococcus. The patient was successfully treated with fortified antibiotics in conjunction with the sensitivity report. This case underlines the need for a cautious approach towards refractive surgery in paediatric age group and highlights the long-term sequelae of retreatments in these cases.