Methicillin-Reitant taphylococcu aureu Infectiou Keratiti Following Refractive urgery Original Reearch Article

Purpoe To elucidate rik factor, clinical coure, viual outcome, and treatment of culture-proven methicillin-reitant taphylococcu aureu (MRA) infectiou keratiti following refractive urgery. Deign Interventional cae erie. Method Multicenter chart review of 13 cae of MRA keratiti following refractive urgery and literature review. Reult Thirteen eye of 12 patient, nine of whom were either healthcare worker or expoed to a hopital urgical etting, developed MRA keratiti following refractive urgery. All patient preented with a decreae in viual acuity and complaint of pain or irritation in the affected eye. Common ign on lit-lamp biomicrocopy were corneal epithelial defect, focal infiltrate with urrounding edema, conjunctival injection, purulent dicharge, and hypopyon. All patient were diagnoed with infectiou keratiti on preentation and treated with two antibiotic. All eye were culture-poitive for MRA. Concluion According to a computerized MEDLINE literature earch, thi i the firt cae erie of MRA infectiou keratiti following refractive urgery, the firt report of MRA keratiti after refractive urgery in patient with no known expoure to a healthcare facility, the firt report of MRA keratiti after a laer in itu keratomileui (LAIK) enhancement, and the firt report of MRA keratiti after prophylaxi with fourth-generation fluoroquinolone. MRA keratiti i a eriou and increaing complication following refractive urgery. Patient with expoure to a healthcare environment hould be conidered at additional rik for developing MRA keratiti. However, in addition, urgeon hould now be vigilant for community-acquired MRA. Prompt identification with culturing and appropriate treatment of MRA keratiti after refractive urgery i important to improve viual rehabilitation.