Infectious keratitis after laser refractive surgery

Purpose: To report two cases of infectious keratitis, one fungal after photorefractive keratectomy (PRK) and the other bacterial after laser in situ keratomileusis (LASIK). Design: Two interventional case reports. Participants: Case 1 is a male who was seen 3 weeks after PRK with a corneal ulceration. Case 2 involves a female who was seen 7 weeks after LASIK with interface granularity. Results: Cultures in case 1 were identified as Scopulariopsis species, and despite intensive treatment, a therapeutic penetrating keratoplasty (PK) was eventually performed. Case 2 had cultures identified as Mycobacterium chelonae and also ultimately required a therapeutic PK. Conclusions: Two unusual infectious keratitides are reported after different laser refractive surgery techniques. Ophthalmology 2001;108:1266-1268 (C) 2001 by the American Academy of Ophthalmology.