Purpose: To report two cases of infectious keratitis, one fungal after phot
orefractive keratectomy (PRK) and the other bacterial after laser in situ k
eratomileusis (LASIK).
Design: Two interventional case reports.
Participants: Case 1 is a male who was seen 3 weeks after PRK with a cornea
l ulceration. Case 2 involves a female who was seen 7 weeks after LASIK wit
h interface granularity.
Results: Cultures in case 1 were identified as Scopulariopsis species, and
despite intensive treatment, a therapeutic penetrating keratoplasty (PK) wa
s eventually performed. Case 2 had cultures identified as Mycobacterium che
lonae and also ultimately required a therapeutic PK.
Conclusions: Two unusual infectious keratitides are reported after differen
t laser refractive surgery techniques. Ophthalmology 2001;108:1266-1268 (C)
2001 by the American Academy of Ophthalmology.