Abstract
Purpose: To report a case of mycobacterium abscessus keratitis following bilateral laser in situ keratomileusis (LASIK).Method: Observational case report.Results: A 36 year-old woman who had bilateral LASIK for moderate myopia developed Mycobacterium abscessus keratitis with large epithelial defect in the left eye (OS) one month after undergoing LASIK at a local ophthalmologic clinic. Her visual acuity was counting fingers at 15 centimeters in the left eye. After treatment with intensive medical therapy, flap amputation, and amniotic membrane dressing, infection and epithelial defect gradually healed and her visual acuity was 40/200 (OS) at the last clinical follow-up.Conclusion: Infectious keratitis following LASIK treatment can be an agonizing experience to both the patient and the ophthalmic surgeon. Nontuberculous mycobacteria should be considered as an etiologic agent in cases of infectious keratitis after LASIK, and appropriate treatment with multi-drug therapy should be initiated promptly and timely.
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