Fungal Keratitis Post-FemtoLASIK: A Novel Therapeutic Approach with LASIK Flap Autograft and Penetrating Keratoplasty: A Case Report
Introduction: This case report describes a rare case of fungal keratitis following femtoLASIK. Despite targetted antifungal therapy, this case necessitated an innovative surgical approach to manage an unexpected corneal perforation. Case Presentation: A 35-year-old male presented 3 weeks post-femtoL...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2024-03-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://beta.karger.com/Article/FullText/538062 |
| _version_ | 1797201939011731456 |
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| author | Jackson Chee Chea Lee Yachana Vaibhav Shah Hannah Kathleen Gooding Graham David Barrett |
| author_facet | Jackson Chee Chea Lee Yachana Vaibhav Shah Hannah Kathleen Gooding Graham David Barrett |
| author_sort | Jackson Chee Chea Lee |
| collection | DOAJ |
| description | Introduction: This case report describes a rare case of fungal keratitis following femtoLASIK. Despite targetted antifungal therapy, this case necessitated an innovative surgical approach to manage an unexpected corneal perforation. Case Presentation: A 35-year-old male presented 3 weeks post-femtoLASIK for myopic astigmatism with discomfort and reduced vision in his right eye. He was diagnosed with fungal keratitis surgery caused by Purpureocillium lilacinum and was treated with a myriad of therapy. Unfortunately, the patient developed corneal perforation during flap lift and flap bed irrigation. An innovative approach involving a tectonic autograft using a viable LASIK flap, followed by prompt penetrating keratoplasty, was utilised. Conclusion: This technique was effective and able to mitigate the progression to an open globe. |
| first_indexed | 2024-04-24T07:55:30Z |
| format | Article |
| id | doaj.art-e2d6f28d671b459bb1600e95ee1ea286 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-04-24T07:55:30Z |
| publishDate | 2024-03-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-e2d6f28d671b459bb1600e95ee1ea2862024-04-18T07:17:48ZengKarger PublishersCase Reports in Ophthalmology1663-26992024-03-0115127327810.1159/000538062538062Fungal Keratitis Post-FemtoLASIK: A Novel Therapeutic Approach with LASIK Flap Autograft and Penetrating Keratoplasty: A Case ReportJackson Chee Chea Lee0Yachana Vaibhav Shah1Hannah Kathleen Gooding2Graham David Barrett3Lions Outback Vision, Nedlands, WA, AustraliaLions Outback Vision, Nedlands, WA, AustraliaSir Charles Gairdner Hospital, Nedlands, WA, AustraliaSir Charles Gairdner Hospital, Nedlands, WA, AustraliaIntroduction: This case report describes a rare case of fungal keratitis following femtoLASIK. Despite targetted antifungal therapy, this case necessitated an innovative surgical approach to manage an unexpected corneal perforation. Case Presentation: A 35-year-old male presented 3 weeks post-femtoLASIK for myopic astigmatism with discomfort and reduced vision in his right eye. He was diagnosed with fungal keratitis surgery caused by Purpureocillium lilacinum and was treated with a myriad of therapy. Unfortunately, the patient developed corneal perforation during flap lift and flap bed irrigation. An innovative approach involving a tectonic autograft using a viable LASIK flap, followed by prompt penetrating keratoplasty, was utilised. Conclusion: This technique was effective and able to mitigate the progression to an open globe.https://beta.karger.com/Article/FullText/538062fungal keratitisautograftlasik flaptectonic graftcase report |
| spellingShingle | Jackson Chee Chea Lee Yachana Vaibhav Shah Hannah Kathleen Gooding Graham David Barrett Fungal Keratitis Post-FemtoLASIK: A Novel Therapeutic Approach with LASIK Flap Autograft and Penetrating Keratoplasty: A Case Report Case Reports in Ophthalmology fungal keratitis autograft lasik flap tectonic graft case report |
| title | Fungal Keratitis Post-FemtoLASIK: A Novel Therapeutic Approach with LASIK Flap Autograft and Penetrating Keratoplasty: A Case Report |
| title_full | Fungal Keratitis Post-FemtoLASIK: A Novel Therapeutic Approach with LASIK Flap Autograft and Penetrating Keratoplasty: A Case Report |
| title_fullStr | Fungal Keratitis Post-FemtoLASIK: A Novel Therapeutic Approach with LASIK Flap Autograft and Penetrating Keratoplasty: A Case Report |
| title_full_unstemmed | Fungal Keratitis Post-FemtoLASIK: A Novel Therapeutic Approach with LASIK Flap Autograft and Penetrating Keratoplasty: A Case Report |
| title_short | Fungal Keratitis Post-FemtoLASIK: A Novel Therapeutic Approach with LASIK Flap Autograft and Penetrating Keratoplasty: A Case Report |
| title_sort | fungal keratitis post femtolasik a novel therapeutic approach with lasik flap autograft and penetrating keratoplasty a case report |
| topic | fungal keratitis autograft lasik flap tectonic graft case report |
| url | https://beta.karger.com/Article/FullText/538062 |
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