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

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 unevent...

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Bibliographic Details
Published in:Journal of ophthalmic inflammation and infection 2021-09, Vol.11 (1), p.25-25, Article 25
Main Authors: Soleimani, Mohammad, Haydar, Ali A.
Format: Article
Language:English
Subjects:
Aspergillus
Brief Report
Case reports
Cornea
Edema
Eye surgery
Fungal keratitis
Gram-positive bacteria
Infections
Infectious keratitis
Inflammation
Medicine
Medicine & Public Health
Ophthalmology
Patients
Penetrating keratoplasty
SMILE
Tomography
Ulcers
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Summary: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.
ISSN:1869-5760
1869-5760
DOI:10.1186/s12348-021-00256-0