Mycobacterium abscessus keratitis after LASIK surgery

ABSTRACT A 33-year-old male presented with unilateral subacute infectious keratitis 4 weeks after surgery. Corneal inflammation was resistant to standard topical antibiotic regimens. During diagnostic flap lifting and sampling, the corneal flap melted and separated. Through flap lifting, corneal scraping, microbiological diagnosis of atypical mycobacteria, and treatment with topical fortified amikacin, clarithromycin, and systemic clarithromycin, clinical improvement was achieved.摘要 一名33岁男性患者于术后4周出现单侧亚急性感染性角膜炎，其角膜炎症对标准局部抗生素治疗方案耐药。在诊断性角膜瓣掀开及取材操作过程中，角膜瓣发生融化并分离。通过掀开角膜瓣、角膜刮片取样、非典型分枝杆菌的微生物学诊断，以及采用局部高浓度阿米卡星、克拉霉素联合全身克拉霉素的治疗方案，患者临床症状得到改善。