Microbial keratitis trends following refractive surgery: Results of the ASCRS infectious keratitis survey and comparisons with prior ASCRS surveys of infectious keratitis following keratorefractive procedures

Renée Solomon, Eric D. Donnenfeld, Edward J. Holland, Sonia H. Yoo, Sheraz Daya, José L. Güell, Francis S. Mah, Stephen V. Scoper, Terry Kim

Research output: Contribution to journalReview article

26 Scopus citations

Abstract

In 2008, the American Society of Cataract and Refractive Surgery (ASCRS) surveyed its 9121 United States and international members to evaluate the changing trends and incidence, culture results, treatment, and visual outcomes of infectious keratitis following keratorefractive procedures worldwide. This paper presents and analyzes the results with comparisons to the data in surveys conducted in 2001 and 2004. Nineteen infections were reported by 14 surgeons who had performed an estimated 20,941 keratorefractive procedures, an incidence of 1 infection in every 1102 procedures. Sixteen cases presented in the first postoperative week, 1 case during the second week, 1 case between the second and fourth weeks, and 1 case at 1 month or later. The 16 cases that presented in the first week were diagnosed at initial presentation. The most common organism cultured was methicillin-resistant Staphylococcus aureus (MRSA). Microbial keratitis following refractive surgery is an increasingly recognized sight-threatening complication.

Original languageEnglish (US)
Pages (from-to)1343-1350
Number of pages8
JournalJournal of cataract and refractive surgery
Volume37
Issue number7
DOIs
StatePublished - Jul 2011

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

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