Delayed infectious keratitis in a patient with radial keratotomy and floppy eyelid syndrome treated with simple interrupted stitches

• Published in: Archivos de la Sociedad Española de Oftalmología (English ed.) 2020-01, Vol.95 (1), p.45-47
• Main Authors: Rahhal-Ortuño, M, Fernández-Santodomingo, A S, Hurtado-Sarrió, M
• Format: Article
• Language: eng ; spa
• Subjects: Animals; Anti-Bacterial Agents - therapeutic use; Blepharoptosis - complications; Debridement; Drug Therapy, Combination; Humans; Keratoconjunctivitis, Infectious - drug therapy; Keratoconjunctivitis, Infectious - etiology; Keratoconjunctivitis, Infectious - surgery; Keratotomy, Radial - adverse effects; Male; Middle Aged; Staphylococcal Infections - drug therapy; Staphylococcal Infections - etiology; Staphylococcal Infections - surgery; Staphylococcus epidermidis - isolation & purification; Surgical Wound Infection - drug therapy; Surgical Wound Infection - etiology; Surgical Wound Infection - surgery; Suture Techniques; Time Factors; Uveitis, Anterior - drug therapy; Uveitis, Anterior - etiology; Uveitis, Anterior - surgery
• ISSN: 2173-5794
• DOI: 10.1016/j.oftal.2019.09.013

A 55-year-old male presented with an infectious keratitis in his left eye, affecting one of the incisions of the radial keratotomy he had undergone thirty-four years ago. Suturing the incision with two simple interrupted stitches was key to the resolution of the infection. Floppy eyelid syndrome was also found in this patient. Could this act as a risk factor for infectious keratitis in radial keratotomy? To our knowledge, this is the first reported case describing the association between both conditions, and the second reported case where sutures have been used as an adjuvant treatment in these types of cases.