Arcuate keratotomy infiltration following uneventful femtosecond laser assisted cataract surgery

• Main Authors: Partha Biswas, Sumana Chatterjee, Sneha Batra, Aniket Ginodia, Preeyam Biswas
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Arcuate keratotomy; femtolaser-assisted cataract surgery; infiltration
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=10;spage=1742;epage=1744;aulast=Biswas

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.