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December 1994

Perforated Bacterial Corneal Ulcer in a Radial Keratotomy Incision Secondary to Minor Trauma

Author Affiliations

Salt Lake City, Utah; New Orleans, La; Salt Lake City

Arch Ophthalmol. 1994;112(12):1513-1514. doi:10.1001/archopht.1994.01090240019010

The use of radial keratotomy (RK) for the treatment of myopia has increased rapidly over the past several years. Major complications, such as corneal ulcers, are relatively rare following RK. However, damaged or traumatized surface epithelium may predispose the cornea to the development of infectious keratitis. We describe a patient in whom a corneal ulcer developed secondary to minor trauma to her eye following RK who subsequently required a corneoscleral patch graft.

Report of a Case.  A 53-year-old woman underwent simultaneous bilateral RK on January 16,1993. The following evening she suffered minor trauma to her right eye when her cornea touched the bill of a baseball cap. She experienced pain in the eye for 2 days and then noted a white spot on her cornea. She was placed on ciprofloxacin hydrochloride and tobramycin drops every hour by the referring physician. However, the following morning, the ulcer appeared worse, and she