Fungal keratitis after laser in situ keratomileusis: a case report.

PURPOSE: To report a case of fungal keratitis resulting after laser in situ keratomileusis (LASIK).

METHODS

A 38-year-old white man in good health developed a corneal infiltrate with laboratory confirmation of fungal keratitis after LASIK. Corneal scrapings were taken. Silver stain was positive for hyphae. Culture was positive for Curvularia sp. The patient was started on intensive natamycin 5% and amphotericin 0.15% topical therapy.

RESULTS

The patient's keratitis was successfully treated with intensive antifungal therapy.

CONCLUSIONS

Infectious keratitis is a rare but a serious potential complication after LASIK. To our knowledge, no previous case of fungal keratitis after LASIK has been reported. This case emphasizes the importance of surveillance for infection after LASIK.