Collagen Cross-linking With Photoactivated Riboflavin (PACK-CXL) for Bacterial Keratitis After Small Incision Lenticule Extraction (SMILE)
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To report a case of infectious keratitis after small incision lenticule extraction (SMILE) treated with collagen cross-linking with photoactivated riboflavin (PACK-CXL).

Case report and literature review.

A patient presented with culture-proven bacterial keratitis 5 days after SMILE was treated with fortified topical antibiotics and PACK-CXL. Irrigation of the corneal cap–stromal bed interface, which can be difficult and affect visual outcomes, was not performed. Clinical improvement was seen shortly after treatment and resolution of keratitis was achieved at 2 weeks.

This is the first reported use of PACK-CXL in the management of infectious keratitis after SMILE. PACK-CXL may help sterilize the infection and limit its spread within the interface.
All Author(s) ListTommy C.Y. Chan, Vanissa W.S. Chow, Vishal Jhanji
Journal nameJournal of Refractive Surgery
Volume Number33
Issue Number4
Pages278 - 280
LanguagesEnglish-United Kingdom

Last updated on 2021-17-01 at 01:36