KERATITIS COMPLICATED BY ENDOPHTHALMITIS 3 YEARS AFTER ASTIGMATIC KERATOTOMY

Endophthalmitis after keratotomy is rare and usually occurs soon after surgery. A 56-year-old woman with mild dry-eye symptoms developed ker atitis complicated by endophthalmitis 3 years after astigmatic keratot omy (AK). The keratitis lasted for less than 1 day in the upper kerato tomy incision. Corneal cultures yielded Pseudomonas aeruginosa. Kerati tis progressed to endophthalmitis 1 day after the detection of keratit is. The inflammation was controlled with intravitreal, subconjunctival , topical, and systemic antibiotics. This case demonstrates the potent ial risk of endophthalmitis developing very shortly after late keratit is of AK incisions. Vigorous, early treatment and close follow-up seem justifiable in any keratitis associated with a keratotomy incision.