van Delden Sébastien, Buvelot Hélène, Bravetti Giorgio Enrico, Pham Truong-Thanh, Thumann Gabriele, Massa Horace
Division of Ophthalmology, Department of Clinical Neurosciences, Geneva University Hospitals, Rue Alcide-Jentzer 22, Geneva, 1205, Switzerland.
Division of Infectious Diseases, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.
J Ophthalmic Inflamm Infect. 2024 Oct 16;14(1):52. doi: 10.1186/s12348-024-00438-6.
Laser assisted in situ keratomileusis (LASIK) surgery is the leading and most performed refractive surgery nowadays. A possible complication of LASIK surgery is infectious keratitis which can lead to disastrous corneal damage and result in permanent loss of vision. LASIK procedures have become increasingly accessible, and the demand for refractive surgery has risen among patients, challenging the medical field to improve the prevention of post-operative infections. Nevertheless, a wide range of pathogens have been described as responsible for post-LASIK keratitis. However, non-tuberculous mycobacterial keratitis remains an infrequent occurrence and is poorly described in the literature. To the best of our knowledge, this is the first ever reported case of post-LASIK keratitis caused by Mycobacterium wolinskyi. We describe the clinical and microbial characteristics, leading to its challenging treatment choice.
准分子原位角膜磨镶术(LASIK)手术是目前主要且实施最多的屈光手术。LASIK手术的一种可能并发症是感染性角膜炎,它可导致灾难性的角膜损伤并造成永久性视力丧失。LASIK手术越来越普及,患者对屈光手术的需求不断上升,这对医学领域在改善术后感染预防方面提出了挑战。尽管如此,已有多种病原体被描述为LASIK术后角膜炎的病因。然而,非结核分枝杆菌性角膜炎仍然很少见,文献中对此描述甚少。据我们所知,这是首例由沃林斯基分枝杆菌引起的LASIK术后角膜炎病例。我们描述了其临床和微生物学特征,以及导致其治疗选择具有挑战性的情况。