Arcuate keratotomy infiltration following uneventful femtosecond laser assisted cataract surgery

Abstract

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.

Corneal astigmatic outcomes after femtosecond laser-assisted cataract surgery combined with surface penetrating arcuate keratotomies

“…Additionally, our RCT was a safety and efficacy study and hence we aimed to use the theoretically safest possible technique. Although rare, complications associated with pFAKs have been reported [18][19][20][21] . Therefore, we opted for initially unpaired, unopened pFAKs to negate such rare documented problems as infection, epithelial down growth or wound gape [18][19][20][21] .…”

“…Although rare, complications associated with pFAKs have been reported [18][19][20][21] . Therefore, we opted for initially unpaired, unopened pFAKs to negate such rare documented problems as infection, epithelial down growth or wound gape [18][19][20][21] . Arcuate keratotomies have also been shown to result in increase of higher order aberrations and by not opening them we aimed to avoid issues associated with this [28] .…”

“…16, No. 7, Jul.18, 2023 www.ijo.cn Tel: 8629-82245172 8629-82210956 Email: ijopress@163.com epithelial down-growth, wound gaping and infection have been reported [18][19][20][21] , which has not been the case with iFAKs. Although a number of authors have evaluated FAKs over a follow-up period of up to 6mo [6,8,[15][16]22] , there are a paucity of prospective, or indeed retrospective studies that have evaluated FAKs over a longer follow-up.…”

Managing low corneal astigmatism in patients with presbyopia correcting intraocular lenses: a narrative review

“…Another potential disadvantage of OCCI may be that some surgeons might find it difficult to alter their preferred OCCI entry site for phacoemulsification [ 114 ]. Some complications have been reported, like early[ 115 , 116 ] and late onset of microbial keratitis with FSL AK [ 117 ]. Likewise, keratitis complicated by endophthalmitis has also been reported several years ago [ 118 ].…”