LASIK: Early postoperative complications

José De La Cruz; Joelle Hallak; Dimitri Azar; Sandeep Jain; Marlane J. Brown; David R. Hardten; Elizabeth A. Davis; Richard L. Lindstrom; Sadeer B. Hannush; Michael W. Belin; Roger F. Steinert; Renato Ambrósio; Daniela Jardim; Bruno M. Fontes; Bryan S. Sires; José L. Güell; Merce Morral; Oscar Gris; Javier Gaytan; Felicidad Manero

doi:10.1007/978-3-540-37584-5_4

LASIK: Early postoperative complications

José De La Cruz, Joelle Hallak, Dimitri Azar, Sandeep Jain, Marlane J. Brown, David R. Hardten, Elizabeth A. Davis, Richard L. Lindstrom, Sadeer B. Hannush, Michael W. Belin, Roger F. Steinert, Renato Ambrósio, Daniela Jardim, Bruno M. Fontes, Bryan S. Sires, José L. Güell, Merce Morral, Oscar Gris, Javier Gaytan, Felicidad Manero

Ophthalmology and Vision Sciences

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Infection after LASIK surgery, although rare, may cause significant visual loss. Infections presenting early after LASIK (with in 1 week) are commonly caused by gram-positive organisms, whereas delayed onset infections (presenting 2-3 weeks after LASIK) are commonly caused by atypical mycobacteria. Persistence of interface inflammation or appearance of corneal infiltrate after LASIK should be presumed infectious unless proven otherwise. Fungal infections should be considered in those cases lacking improvement after early broad-spectrum therapy, as they are associated with severe visual loss. A high index of suspicion and aggressive management, which includes early lifting of the flap, scrapings for microbiological investigation, and irrigation, and aggressive antibiotic therapy, may lead to better outcomes.

Original language	English (US)
Title of host publication	Management of Complications in Refractive Surgery
Publisher	Springer Berlin Heidelberg
Pages	33-71
Number of pages	39
ISBN (Print)	9783540375838
DOIs	https://doi.org/10.1007/978-3-540-37584-5_4
State	Published - 2008

ASJC Scopus subject areas

General Medicine

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10.1007/978-3-540-37584-5_4

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De La Cruz, J., Hallak, J., Azar, D., Jain, S., Brown, M. J., Hardten, D. R., Davis, E. A., Lindstrom, R. L., Hannush, S. B., Belin, M. W., Steinert, R. F., Ambrósio, R., Jardim, D., Fontes, B. M., Sires, B. S., Güell, J. L., Morral, M., Gris, O., Gaytan, J., & Manero, F. (2008). LASIK: Early postoperative complications. In Management of Complications in Refractive Surgery (pp. 33-71). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-540-37584-5_4

De La Cruz, J, Hallak, J, Azar, D, Jain, S, Brown, MJ, Hardten, DR, Davis, EA, Lindstrom, RL, Hannush, SB, Belin, MW, Steinert, RF, Ambrósio, R, Jardim, D, Fontes, BM, Sires, BS, Güell, JL, Morral, M, Gris, O, Gaytan, J & Manero, F 2008, LASIK: Early postoperative complications. in Management of Complications in Refractive Surgery. Springer Berlin Heidelberg, pp. 33-71. https://doi.org/10.1007/978-3-540-37584-5_4

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title = "LASIK: Early postoperative complications",

abstract = "Infection after LASIK surgery, although rare, may cause significant visual loss. Infections presenting early after LASIK (with in 1 week) are commonly caused by gram-positive organisms, whereas delayed onset infections (presenting 2-3 weeks after LASIK) are commonly caused by atypical mycobacteria. Persistence of interface inflammation or appearance of corneal infiltrate after LASIK should be presumed infectious unless proven otherwise. Fungal infections should be considered in those cases lacking improvement after early broad-spectrum therapy, as they are associated with severe visual loss. A high index of suspicion and aggressive management, which includes early lifting of the flap, scrapings for microbiological investigation, and irrigation, and aggressive antibiotic therapy, may lead to better outcomes.",

author = "{De La Cruz}, Jos{\'e} and Joelle Hallak and Dimitri Azar and Sandeep Jain and Brown, {Marlane J.} and Hardten, {David R.} and Davis, {Elizabeth A.} and Lindstrom, {Richard L.} and Hannush, {Sadeer B.} and Belin, {Michael W.} and Steinert, {Roger F.} and Renato Ambr{\'o}sio and Daniela Jardim and Fontes, {Bruno M.} and Sires, {Bryan S.} and G{\"u}ell, {Jos{\'e} L.} and Merce Morral and Oscar Gris and Javier Gaytan and Felicidad Manero",

year = "2008",

doi = "10.1007/978-3-540-37584-5_4",

language = "English (US)",

isbn = "9783540375838",

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TY - CHAP

T1 - LASIK

T2 - Early postoperative complications

AU - De La Cruz, José

AU - Hallak, Joelle

AU - Azar, Dimitri

AU - Jain, Sandeep

AU - Brown, Marlane J.

AU - Hardten, David R.

AU - Davis, Elizabeth A.

AU - Lindstrom, Richard L.

AU - Hannush, Sadeer B.

AU - Belin, Michael W.

AU - Steinert, Roger F.

AU - Ambrósio, Renato

AU - Jardim, Daniela

AU - Fontes, Bruno M.

AU - Sires, Bryan S.

AU - Güell, José L.

AU - Morral, Merce

AU - Gris, Oscar

AU - Gaytan, Javier

AU - Manero, Felicidad

PY - 2008

Y1 - 2008

N2 - Infection after LASIK surgery, although rare, may cause significant visual loss. Infections presenting early after LASIK (with in 1 week) are commonly caused by gram-positive organisms, whereas delayed onset infections (presenting 2-3 weeks after LASIK) are commonly caused by atypical mycobacteria. Persistence of interface inflammation or appearance of corneal infiltrate after LASIK should be presumed infectious unless proven otherwise. Fungal infections should be considered in those cases lacking improvement after early broad-spectrum therapy, as they are associated with severe visual loss. A high index of suspicion and aggressive management, which includes early lifting of the flap, scrapings for microbiological investigation, and irrigation, and aggressive antibiotic therapy, may lead to better outcomes.

AB - Infection after LASIK surgery, although rare, may cause significant visual loss. Infections presenting early after LASIK (with in 1 week) are commonly caused by gram-positive organisms, whereas delayed onset infections (presenting 2-3 weeks after LASIK) are commonly caused by atypical mycobacteria. Persistence of interface inflammation or appearance of corneal infiltrate after LASIK should be presumed infectious unless proven otherwise. Fungal infections should be considered in those cases lacking improvement after early broad-spectrum therapy, as they are associated with severe visual loss. A high index of suspicion and aggressive management, which includes early lifting of the flap, scrapings for microbiological investigation, and irrigation, and aggressive antibiotic therapy, may lead to better outcomes.

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DO - 10.1007/978-3-540-37584-5_4

M3 - Chapter

AN - SCOPUS:84891408240

SN - 9783540375838

SP - 33

EP - 71

BT - Management of Complications in Refractive Surgery

PB - Springer Berlin Heidelberg

ER -

LASIK: Early postoperative complications

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