The real prevalence of infectious
keratitis after refractive surgery is difficult to determine, due to its
rarity. In 2010 we reported a prevalence of 72 cases in 204,586 LASIKprocedures, a 0.035%. Other series had shown prevalence’s ranging from
0.034 to 0.180%, but ours was, by far, the largest series published to date.
As
happens in LASIK, the prevalence of infections after SA is rare and it is
difficult to determine if the series does not comprise a large number of
operated eyes. In 2011 we published our prevalence in SA. We found 39 cases in
18,651 procedures, a 0.200%. Therefore, in our institution, corneal infections
were five times more prevalent after SA than after LASIK.
There is much consensus about the
standard treatment of corneal infections after corneal refractive surgery. According
to the ASCRS White Paper aggressive management with early flap lifting,
scraping, culture, and irrigation with antibiotics should be followed.
No comments:
Post a Comment