Abstract

A 20-year-old male patient underwent small-incision lenticule extraction (SMILE) due to compound myopic astigmatism in both eyes. On the first day after SMILE, the patient was diagnosed with infectious keratitis (IK) caused by Streptococcus equinus. Emergency surgery was performed, and 2.5% vancomycin solution was used to wash the corneal interlamine of both eyes. After surgery, intensive antibiotic treatment and glucocorticoids were administered to reduce haze in the corneal epithelium and prevent corneal scar hyperplasia. IK was controlled in both eyes, and the uncorrected distance visual acuity in both eyes was 20/20.

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