Mycobacterium chelonae Keratitis following Keratorefractive Lenticule Extraction: Highlighting Diagnostic and Treatment Complexities
Introduction: This is a rare case of Mycobacterium chelonae keratitis following keratorefractive lenticule extraction (KLEX). Case Presentation: A 35-year-old female presented to the emergency eye clinic with 4 days of eye pain and decreased vision following KLEX surgery. She was using to...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2025-03-01
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| Series: | Case Reports in Ophthalmology |
| Online Access: | https://karger.com/article/doi/10.1159/000545563 |
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| author | Natalie Elizabeth Allen Sarah Sarah Sally Roberts Stephen R. Ritchie Alexandra Z. Crawford Bia Kim |
| author_facet | Natalie Elizabeth Allen Sarah Sarah Sally Roberts Stephen R. Ritchie Alexandra Z. Crawford Bia Kim |
| author_sort | Natalie Elizabeth Allen |
| collection | DOAJ |
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Introduction: This is a rare case of Mycobacterium chelonae keratitis following keratorefractive lenticule extraction (KLEX). Case Presentation: A 35-year-old female presented to the emergency eye clinic with 4 days of eye pain and decreased vision following KLEX surgery. She was using topical tobramycin drops four times per day, which was changed to ciprofloxacin drops. Following initial improvement, the eye deteriorated with further stromal infiltrates. A corneal culture identified M. chelonae. The keratitis required extensive topical and systemic medications, repeat scrapes, and an amniotic membrane over several weeks to reach quiescence. Vision deteriorated to hand movements, but an emergency keratoplasty was avoided. Conclusion: This is the third reported case serving to highlight the diagnostic and treatment challenges associated with postoperative keratitis involving nontuberculous mycobacteria. |
| format | Article |
| id | doaj-art-92f94cbb714b4b0590f53f0eab7fdc40 |
| institution | OA Journals |
| issn | 1663-2699 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj-art-92f94cbb714b4b0590f53f0eab7fdc402025-08-20T01:51:03ZengKarger PublishersCase Reports in Ophthalmology1663-26992025-03-0116130230710.1159/000545563Mycobacterium chelonae Keratitis following Keratorefractive Lenticule Extraction: Highlighting Diagnostic and Treatment ComplexitiesNatalie Elizabeth AllenSarah SarahSally RobertsStephen R. RitchieAlexandra Z. CrawfordBia Kim Introduction: This is a rare case of Mycobacterium chelonae keratitis following keratorefractive lenticule extraction (KLEX). Case Presentation: A 35-year-old female presented to the emergency eye clinic with 4 days of eye pain and decreased vision following KLEX surgery. She was using topical tobramycin drops four times per day, which was changed to ciprofloxacin drops. Following initial improvement, the eye deteriorated with further stromal infiltrates. A corneal culture identified M. chelonae. The keratitis required extensive topical and systemic medications, repeat scrapes, and an amniotic membrane over several weeks to reach quiescence. Vision deteriorated to hand movements, but an emergency keratoplasty was avoided. Conclusion: This is the third reported case serving to highlight the diagnostic and treatment challenges associated with postoperative keratitis involving nontuberculous mycobacteria. https://karger.com/article/doi/10.1159/000545563 |
| spellingShingle | Natalie Elizabeth Allen Sarah Sarah Sally Roberts Stephen R. Ritchie Alexandra Z. Crawford Bia Kim Mycobacterium chelonae Keratitis following Keratorefractive Lenticule Extraction: Highlighting Diagnostic and Treatment Complexities Case Reports in Ophthalmology |
| title | Mycobacterium chelonae Keratitis following Keratorefractive Lenticule Extraction: Highlighting Diagnostic and Treatment Complexities |
| title_full | Mycobacterium chelonae Keratitis following Keratorefractive Lenticule Extraction: Highlighting Diagnostic and Treatment Complexities |
| title_fullStr | Mycobacterium chelonae Keratitis following Keratorefractive Lenticule Extraction: Highlighting Diagnostic and Treatment Complexities |
| title_full_unstemmed | Mycobacterium chelonae Keratitis following Keratorefractive Lenticule Extraction: Highlighting Diagnostic and Treatment Complexities |
| title_short | Mycobacterium chelonae Keratitis following Keratorefractive Lenticule Extraction: Highlighting Diagnostic and Treatment Complexities |
| title_sort | mycobacterium chelonae keratitis following keratorefractive lenticule extraction highlighting diagnostic and treatment complexities |
| url | https://karger.com/article/doi/10.1159/000545563 |
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