Llovet-Osuna F, de Rojas Silva V, Martínez del Pozo M, Ortega-Usobiaga J
Clínica Baviera, Instituto Oftalmológico Europeo, Madrid, España.
Arch Soc Esp Oftalmol. 2010 Nov;85(11):355-9. doi: 10.1016/j.oftal.2010.10.010. Epub 2010 Dec 3.
To study the incidence of infectious keratitis (IK) after laser-assisted in situ keratomileusis (LASIK), along with its diagnosis, therapeutic action taken, its management and the results.
We carried out a retrospective study of 262,191 eyes intervened consecutively with LASIK, in our 20 centres, during the period from September 2002 and December 2009. All the cases susceptible to being diagnosed with IK, either clinically or due to the biological findings were analysed.
A total of 82 cases were found with infectious keratitis, which assumed an incidence of 0.031%. Distributions are presented by gender, mean age of the patients, mean days since the surgery, the clinical signs and symptoms, predisposing factors, therapeutic action, complications, details of the causal germ, and the loss of lines of vision.
Infectious keratitis after LASIK is a rare complication. The early diagnosis and management of the process are determining factors when establishing the prognosis. In our series all the cases were resolved without causing any other serious complications.
研究准分子原位角膜磨镶术（LASIK）后感染性角膜炎（IK）的发生率、诊断方法、所采取的治疗措施、处理方法及结果。
我们对2002年9月至2009年12月期间在我们20个中心连续接受LASIK手术的262,191只眼睛进行了回顾性研究。对所有临床或生物学检查结果易被诊断为IK的病例进行了分析。
共发现82例感染性角膜炎病例，发病率为0.031%。按性别、患者平均年龄、术后平均天数、临床体征和症状、诱发因素、治疗措施、并发症、致病微生物详情以及视力丧失情况进行了分布统计。
LASIK术后感染性角膜炎是一种罕见的并发症。在确定预后时，该病程的早期诊断和处理是决定性因素。在我们的系列病例中，所有病例均得到解决，未引发任何其他严重并发症。
