ENDOPHTHALMITIS AFTER ASTIGMATIC MYOPIC LASER IN-SITU KERATOMILEUSIS

A 36-year-old woman had uneventful astigmatic myopic laser in situ ker atomileusis (LASIK) to correct -12.00 -1.50 x 70. Three days later, sh e developed a corneal abscess, hypopyon, and an intense vitreous cellu lar reaction-endophthalmitis. The patient was immediately given intrav enous ciprofloxacin and topical vancomycin and ceftazidime. The infect ing organism was Streptococcus pneumoniae. One day after therapy was i nstituted, the hypopyon resolved. Seven months later, best corrected v isual acuity was 20/25 and refractive error, -4.00 diopters. A stromal scar (grade 2 haze) was causing a slight reduction in acuity. Endopht halmitis after LASIK, if treated promptly, need not lead to a permanen t reduction in visual acuity.