LASIK

Early postoperative complications

José De La Cruz, Joelle Hallak, Dimitri Azar, Sandeep Jain, Marlane J. Brown, David R. Hardten, Elizabeth A. Davis, Richard L. Lindstrom, Sadeer B. Hannush, Michael W Belin, Roger F. Steinert, Renato Ambrósio, Daniela Jardim, Bruno M. Fontes, Bryan S. Sires, José L. Güell, Merce Morral, Oscar Gris, Javier Gaytan, Felicidad Manero

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Infection after LASIK surgery, although rare, may cause significant visual loss. Infections presenting early after LASIK (with in 1 week) are commonly caused by gram-positive organisms, whereas delayed onset infections (presenting 2-3 weeks after LASIK) are commonly caused by atypical mycobacteria. Persistence of interface inflammation or appearance of corneal infiltrate after LASIK should be presumed infectious unless proven otherwise. Fungal infections should be considered in those cases lacking improvement after early broad-spectrum therapy, as they are associated with severe visual loss. A high index of suspicion and aggressive management, which includes early lifting of the flap, scrapings for microbiological investigation, and irrigation, and aggressive antibiotic therapy, may lead to better outcomes.

Original languageEnglish (US)
Title of host publicationManagement of Complications in Refractive Surgery
PublisherSpringer Berlin Heidelberg
Pages33-71
Number of pages39
ISBN (Print)9783540375838
DOIs
StatePublished - 2008
Externally publishedYes

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Laser In Situ Keratomileusis
Infection
Nontuberculous Mycobacteria
Mycoses
Anti-Bacterial Agents
Inflammation
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

De La Cruz, J., Hallak, J., Azar, D., Jain, S., Brown, M. J., Hardten, D. R., ... Manero, F. (2008). LASIK: Early postoperative complications. In Management of Complications in Refractive Surgery (pp. 33-71). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-540-37584-5_4

LASIK : Early postoperative complications. / De La Cruz, José; Hallak, Joelle; Azar, Dimitri; Jain, Sandeep; Brown, Marlane J.; Hardten, David R.; Davis, Elizabeth A.; Lindstrom, Richard L.; Hannush, Sadeer B.; Belin, Michael W; Steinert, Roger F.; Ambrósio, Renato; Jardim, Daniela; Fontes, Bruno M.; Sires, Bryan S.; Güell, José L.; Morral, Merce; Gris, Oscar; Gaytan, Javier; Manero, Felicidad.

Management of Complications in Refractive Surgery. Springer Berlin Heidelberg, 2008. p. 33-71.

Research output: Chapter in Book/Report/Conference proceedingChapter

De La Cruz, J, Hallak, J, Azar, D, Jain, S, Brown, MJ, Hardten, DR, Davis, EA, Lindstrom, RL, Hannush, SB, Belin, MW, Steinert, RF, Ambrósio, R, Jardim, D, Fontes, BM, Sires, BS, Güell, JL, Morral, M, Gris, O, Gaytan, J & Manero, F 2008, LASIK: Early postoperative complications. in Management of Complications in Refractive Surgery. Springer Berlin Heidelberg, pp. 33-71. https://doi.org/10.1007/978-3-540-37584-5_4
De La Cruz J, Hallak J, Azar D, Jain S, Brown MJ, Hardten DR et al. LASIK: Early postoperative complications. In Management of Complications in Refractive Surgery. Springer Berlin Heidelberg. 2008. p. 33-71 https://doi.org/10.1007/978-3-540-37584-5_4
De La Cruz, José ; Hallak, Joelle ; Azar, Dimitri ; Jain, Sandeep ; Brown, Marlane J. ; Hardten, David R. ; Davis, Elizabeth A. ; Lindstrom, Richard L. ; Hannush, Sadeer B. ; Belin, Michael W ; Steinert, Roger F. ; Ambrósio, Renato ; Jardim, Daniela ; Fontes, Bruno M. ; Sires, Bryan S. ; Güell, José L. ; Morral, Merce ; Gris, Oscar ; Gaytan, Javier ; Manero, Felicidad. / LASIK : Early postoperative complications. Management of Complications in Refractive Surgery. Springer Berlin Heidelberg, 2008. pp. 33-71
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abstract = "Infection after LASIK surgery, although rare, may cause significant visual loss. Infections presenting early after LASIK (with in 1 week) are commonly caused by gram-positive organisms, whereas delayed onset infections (presenting 2-3 weeks after LASIK) are commonly caused by atypical mycobacteria. Persistence of interface inflammation or appearance of corneal infiltrate after LASIK should be presumed infectious unless proven otherwise. Fungal infections should be considered in those cases lacking improvement after early broad-spectrum therapy, as they are associated with severe visual loss. A high index of suspicion and aggressive management, which includes early lifting of the flap, scrapings for microbiological investigation, and irrigation, and aggressive antibiotic therapy, may lead to better outcomes.",
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AU - De La Cruz, José

AU - Hallak, Joelle

AU - Azar, Dimitri

AU - Jain, Sandeep

AU - Brown, Marlane J.

AU - Hardten, David R.

AU - Davis, Elizabeth A.

AU - Lindstrom, Richard L.

AU - Hannush, Sadeer B.

AU - Belin, Michael W

AU - Steinert, Roger F.

AU - Ambrósio, Renato

AU - Jardim, Daniela

AU - Fontes, Bruno M.

AU - Sires, Bryan S.

AU - Güell, José L.

AU - Morral, Merce

AU - Gris, Oscar

AU - Gaytan, Javier

AU - Manero, Felicidad

PY - 2008

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