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January 1990

Endophthalmitis Following Ruiz Procedure

Author Affiliations

Minneapolis, Minn
Grand Forks, ND

Arch Ophthalmol. 1990;108(1):21. doi:10.1001/archopht.1990.01070030027012

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As keratorefractive surgical techniques have become more widely used, complications have also become more common. Endophthalmitis following radial keratotomy has been previously reported,1 but endophthalmitis following a Ruiz procedure (trapezoidal keratotomy) has, to our knowledge, not been previously reported. We recently treated a case of endophthalmitis following a Ruiz procedure.

Report of a Case.  —A 44-year-old man had been shot in the right eye at 12 years of age. He subsequently developed a dense cataract, right exotropia measuring 50 prism diopters, and corneal astigmatism measuring 6.00 D. On May 31,1988, he underwent an extracapsular cataract extraction with posterior chamber lens. After a YAG capsulotomy on June 28, his visual acuity improved to 20/20 with correction, but with improved visual acuity the patient noted diplopia.On October 20, 1988, a medial rectus muscle resection and a lateral rectus muscle recession were done on the right eye immediately followed by a

Gelender H, Flynn HW, Mandelbaum SH.  Bacterial endophthalmitis resulting from radial keratotomy . Am J Ophthalmol . 1982;93:323-326.