Case Series of Perforated Keratomycosis after Laser-Assisted In Situ Keratomileusis
المؤلفون المشاركون
Eleiwa, Taher
Ozcan, Eyup
Abdelrahman, Samar
Solyman, Omar
Elhusseiny, Abdelrahman M.
Youssef, Gehad
Bayoumy, Ahmed
المصدر
Case Reports in Ophthalmological Medicine
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-09-15
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
Fungal keratitis is an extremely rare complication of laser vision correction resulting in poor visual outcomes.
Amniotic membrane transplantation should be kept in mind in eyes with corneal perforation prior to penetrating keratoplasty.
Aim.
To assess the outcomes of multilayered fresh amniotic membrane transplantation (MLF-AMT) in patients with severe keratomycosis after laser-assisted in situ keratomileusis (LASIK).
Study design.
Hospital-based prospective interventional case series.
Methods.
Five eyes of 5 patients were included in the study.
All cases underwent microbiological scrapings from residual bed and intrastromal injections of amphotericin (50 mcg/mL), with flap amputation if needed, followed by topical 5% natamycin and 0.15% amphotericin.
MLF-AMT was performed after corneal perforation.
Later, penetrating keratoplasty (PK) was performed when corneal opacity compromised visual acuity.
The outcome measures were complete resolution of infection, corneal graft survival, and best-corrected visual acuity (BCVA).
Results.
The mean age of patients was 22±1.2 years with 4/5 (80%) were females.
The mean interval between LASIK and symptom onset was 8.8±1 day, and the mean interval between symptom onset and referral was 14±1.4 days.
Potassium hydroxide (KOH) smears showed filamentous fungi, and Sabouraud’s medium grew Aspergillus in all cases.
Melted flaps were amputated in 4 (80%) cases.
MLF-AMT was performed in all cases due to corneal perforation after a mean time of 12.4±1.2 days of antifungals.
In all cases, complete resolution of infection was seen 26±1.8 days after MLF-AMT, and optical PK was done at a mean of 2.4 months later.
No postoperative complications after MLF-AMT or PK were observed, with a 0% incidence of corneal graft rejection, and a final BCVA ranged from 20/20 to 20/80 after a mean follow-up of 14±1.1 months.
Conclusion.
MLF-AMT is a safe and valid option to manage corneal perforation during keratmycosis treatment to avoid emergency therapeutic keratoplasty.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Eleiwa, Taher& Ozcan, Eyup& Abdelrahman, Samar& Solyman, Omar& Elhusseiny, Abdelrahman M.& Youssef, Gehad…[et al.]. 2020. Case Series of Perforated Keratomycosis after Laser-Assisted In Situ Keratomileusis. Case Reports in Ophthalmological Medicine،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1149653
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Eleiwa, Taher…[et al.]. Case Series of Perforated Keratomycosis after Laser-Assisted In Situ Keratomileusis. Case Reports in Ophthalmological Medicine No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1149653
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Eleiwa, Taher& Ozcan, Eyup& Abdelrahman, Samar& Solyman, Omar& Elhusseiny, Abdelrahman M.& Youssef, Gehad…[et al.]. Case Series of Perforated Keratomycosis after Laser-Assisted In Situ Keratomileusis. Case Reports in Ophthalmological Medicine. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1149653
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1149653
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر