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CASE REPORT
Year : 2019  |  Volume : 67  |  Issue : 10  |  Page : 1742-1744

Arcuate keratotomy infiltration following uneventful femtosecond laser assisted cataract surgery


1 Director, B B Eye Foundation, Kolkata, West Bengal, India
2 Consultant, Cornea Services, B B Eye Foundation, Kolkata, West Bengal, India
3 Associate Consultant, B B Eye Foundation, Kolkata, West Bengal, India
4 Fellow, B B Eye Foundation, Kolkata, West Bengal, India
5 Ophthalmology Resident, Dr. D Y Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India

Correspondence Address:
Dr. Sneha Batra
39, Diamond Harbour Road, PO - Barisha, Kolkata - 700 008, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_72_19

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An 84-year-old gentleman underwent uneventful femtolaser-assisted cataract surgery (FLACS) with an arcuate keratotomy (AK) in the left eye. On the 18th post-operative day, a corneal infiltrate developed involving the AK. Staphylococcus epidermidis was the organism isolated on culture. The infiltrate resolved with topical fortified vancomycin and amikacin eyedrops, and the patient regained a visual acuity of 6/6 after 12 weeks. This is the first case from south-east Asia reported in the literature of an infective infiltrate along a femtosecond laser AK. We propose strict peri-operative recommendations to be followed to prevent and treat such infections.


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