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December 1994

Infectious Keratitis 1 Day After Radial Keratotomy

Author Affiliations

Allentown, Pa

Arch Ophthalmol. 1994;112(12):1512-1513. doi:10.1001/archopht.1994.01090240018009

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Infectious keratitis following radial keratotomy is a rare but dreaded complication of this surgical procedure. Early-onset keratitis has been reported as early as 3 days but more often within 1 to 2 weeks after radial keratotomy.1-3 One or two of the incisions are usually involved.1,2 We report a case of infectious keratitis that developed on the first postoperative day and eventually involved all of the incisions.

Report of a Case.  A 52-year-old white man underwent an eight-incision radial keratotomy with two T cuts in the right eye for a cycloplegic refraction of −3.00−2.50×15. There were no complications at surgery. One drop of 0.3% ciprofloxacin hydrochloride was placed in the eye along with a diclofenac sodium (Voltaren)-soaked collagen shield.On the first postoperative day, the patient's uncorrected visual acuity was 20/25 and he had no complaints. The operating surgeon noted stromal infiltrates (Figure) and referred the patient for immediate

Rashid ER, Waring GO.  Complications of radial and transverse keratotomy . Surv Ophthalmol . 1989;34:73-106.Article
Matoba AY, Torres J, Wilhelmus KR, Hamill MB, Jones DB.  Bacterial keratitis after radial keratotomy . Ophthalmology . 1989;96:1171-1175.Article
Robin JB, Beatty RF, Dunn S, et al.  Mycobacterium chelonei keratitis after radial keratotomy . Am J Ophthalmol . 1986;102:72.