Bilateral infectious keratitis after small-incision lenticule extraction

Chehaibou, Ismaël; Sandali, Otman; Améline, B; Bouheraoua, Nacim; Laroche, L.

doi:10.1016/j.jcrs.2016.03.024

Cited by 35 publications

(20 citation statements)

References 18 publications

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“…There were no infectious complications in our hospital; there are case reports showing interstitial keratitis due to Streptococcus pneumoniae in both eyes 23 . To the best of our knowledge, there is no reported incidence of infectious keratitis after SMILE in the literature; however, compared to other techniques, the incidence reported after LASIK is only of 0.03% 24 .…”

Section: Discussionmentioning

confidence: 60%

Incidence of complications of SMall Incision Lenticule Extraction (SMILE)

Avalos-Lara¹,

Valle²,

Baca-Lozada³

et al. 2020

RMOE

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Purpose: To summarize the complications and their incidence in the learning curve of the "small incision lenticule extraction (SMILE)" surgical technique. Material and methods: Prospective, descriptive and observational study. We evaluated the intraoperative and postoperative complications of patients undergoing SMILE refractive surgery with femtosecond laser from January 2015 to January 2018 at the Hospital Nuestra Señora de la Luz, Mexico. The platform used for surgery was the VisuMax by Zeiss. Statistical analysis was performed with Excel. Results: 526 eyes of 263 patients undergoing "SMILE" refractive surgery were studied. Intraoperative complications were observed in 70 of 526 eyes. The main complication was difficult lenticule extraction in 27 eyes (5.13%), epithelial abrasion in 15 eyes (2.85%), incision tear 12 in eyes (2.28%), lost vacuum in 7 eyes (1.33%), incomplete lenticule removal in 4 eyes (0.76%), black spot in 4 eyes (0.76%) and wound bleeding in 1 eye (0.19%). All complications were resolved intraoperatively. Conclusions: SMILE surgical technique is safe, showing excellent results in final visual acuity.

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Section: Discussionmentioning

confidence: 60%

Incidence of complications of SMall Incision Lenticule Extraction (SMILE)

Avalos-Lara¹,

Valle²,

Baca-Lozada³

et al. 2020

RMOE

View full text Add to dashboard Cite

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“…We have reviewed the literature and found a total of ten patients reported to have had post-SMILE IK [3][4][5][6][7][8][9]. Table 1 summarizes the case reports of post-SMILE IK.…”

Section: Discussionmentioning

confidence: 99%

“…Small incision lenticule extraction (SMILE) is a relatively new flapless procedure that take benefit from femtosecond laser to cut a precise intrastromal lenticule, which is then extracted via a small keyhole incision [2]. Only few cases of IK post-SMILE have been reported [3][4][5][6][7][8][9]. We report an unusual severe unilateral fungal keratitis post-SMILE.…”

Section: Introductionmentioning

confidence: 99%

Fungal keratitis after small incision lenticule extraction (SMILE): a case report and review of the literature

Soleimani

Haydar

2021

J Ophthal Inflamm Infect

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Purpose To report a case of perforated fungal keratitis after small incision lenticule extraction (SMILE) treated with penetrating keratoplasty (PKP). Methods Case report and literature review. Results A 41-year-old woman presented with culture-proven unilateral fungal keratitis 4 days after uneventful SMILE. Her visual acuity was hand motion. The patient was treated with voriconazole irrigation (50 μm/0.1 ml) of the pocket and intrastromal voriconazole injection, in addition to systemic and topical antifungals. Despite aggressive management and decreased infiltration, the cornea was perforated and subsequently treated with PKP. Conclusions Infectious keratitis after SMILE is unusual. To our knowledge, this is the first report of perforated fungal keratitis post-SMILE. PKP eradicated the infection.

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“…Overall, the M. abcessus complex should be considered an agent of infectious keratitis, as well as a pathogen in nosocomial and pulmonary infections; the presence of Mycobacterium abscessus subsp. bolletii has been reported in pulmonary infections in patients with cystic fibrosis [6][7][8][9][10] . Another important characteristic of the M. abcessus complex (except for the subspecies massiliense) is the presence of macrolide-resistance inducing genes, mainly the erm, which can lead to poor treatment response 10 .…”

Section: Discussionmentioning

confidence: 99%