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Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 359-361

A rare case of post-laser-assisted in situ keratomileusis Scedosporium prolificans keratitis

1 Resident, Department of General Ophthalmology, Aravind Eye Hospital, Pondicherry, India
2 Department of Cornea and Refractive Services, Aravind Eye Hospital, Pondicherry, India
3 Department of Microbiology, Aravind Eye Hospital, Pondicherry, India

Correspondence Address:
Josephine S Christy
Aravind Eye Hospital, Cuddalore Main Road, Thavalakuppam, Pondicherry - 605 007
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1081_21

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A 21-year-old female presented with a stick injury in her right eye 6 months after an uneventful laser in situ keratomileusis (LASIK). Diffuse lamellar keratitis which responded well to the initial treatment with topical steroids, progressed rapidly within the next 3 weeks to develop corneal perforation. A microbiological examination revealed a rare fungus Scedosporium prolificans. The patient was successfully managed with topical voriconazole 1% and cyanoacrylate glue for corneal perforation. At the end of 7 weeks, keratitis healed with a best-corrected visual acuity of hand movements. Hence, a strong suspicion of infectious interface keratitis is warranted while treating post-LASIK keratitis.

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