NOCARDIAL KERATITIS AFTER LASER IN-SITU KERATOMILEUSIS

PURPOSE AND METHODS: Corneal interface central nodules appeared in a p atient who underwent uncomplicated laser in situ keratomileusis (LASIK ) retreatment for residual myopia. RESULTS/CONCLUSIONS: Nocardia aster oides keratitis was confirmed by microbiologic studies, which guided t reatment, Six months after the appearance of the keratitis, the patien t's uncorrected visual acuity was 20/45, and spectacle-corrected visua l acuity was 20/40. The postoperative refraction was +0.75 -0.75 x 95 degrees, and slit-lamp examination revealed a clear cornea with a mild rounded scar in the central area. Night halos and starbursts were the main complaints in this patient, The immediate management of lifting the corneal flap for stromal bed scraping, fast microbial identificati on, and proper treatment was the key for the results in this patient.