AI Article Synopsis
- A female patient in her late 20s experienced poor vision, redness, watering, and a burning sensation in her left eye two weeks after a small incision lenticule extraction.
- Upon examination, she was diagnosed with microbial keratitis due to corneal stromal infiltrates detected in the eye, leading to a corneal scraping for microbiological analysis.
- The infection was identified as caused by gram-positive, acid-fast microfilaments and was successfully treated with topical amikacin and systemic trimethoprim-sulfamethoxazole, resulting in complete resolution.
Article Abstract
We report the case of a female patient in her late 20s who visited the clinic with concerns about poor vision, redness, watering and a burning sensation in her left eye 2 weeks after undergoing a small incision lenticule extraction. She had no history of systemic illness or immunosuppressed status. On slit lamp examination, she was found to have corneal stromal infiltrates in the interface at multiple locations. Given the clinical diagnosis of microbial keratitis, corneal scraping of the interface infiltrate was performed and sent for microbiological examination revealing gram-positive, thin, beaded filaments that were acid-fast positive and later identified by growth in culture media as species. This case was managed successfully with the use of topical amikacin and systemic trimethoprim-sulfamethoxazole with complete resolution of infection.
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| http://dx.doi.org/10.1136/bcr-2023-259486 | DOI Listing |
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