Dada T, Sharma N, Dada V K, Vajpayee R B
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
J Cataract Refract Surg. 2000 Mar;26(3):460-1. doi: 10.1016/s0886-3350(99)00349-1.
A 20-year-old man developed keratitis in his right eye 2 days after laser in situ keratomileusis (LASIK). The patient had rubbed the eye with unclean fingers the night before the onset of symptoms. Examination showed an inferior corneal ulcer with dense infiltration at the junction of the lamellar flap and the surrounding cornea associated with a hypopyon. Streptococcus pneumoniae was isolated on culture. The ulcer resolved with combination therapy of cephazolin 5% and tobramycin 1.3% eyedrops. Patients having LASIK should be instructed that inadequate patient hygiene may predispose to bacterial keratitis.
一名20岁男性在准分子原位角膜磨镶术（LASIK）后2天右眼发生角膜炎。患者在症状出现前一晚用不干净的手指揉了眼睛。检查发现角膜下方有溃疡，在板层角膜瓣与周围角膜交界处有致密浸润，并伴有前房积脓。培养分离出肺炎链球菌。溃疡通过5%头孢唑林和1.3%妥布霉素滴眼液联合治疗得以痊愈。应告知接受LASIK手术的患者，患者卫生习惯不良可能易引发细菌性角膜炎。
