1 |
Flap amputation, amphotericin B 50 mcg/ml (interface wash, intrastromal injection), topical (amphotericin B 0.15%, natamycin 5%), oral (itraconazole, doxycycline, acetazolamide) |
2.5 mm perforation |
Aspergillus fumigatus |
Lid edema, chemosis, ciliary injection, cornea (hypothesia, central interface infiltrates 3x3 mm, endothelial plaque, heaped up 3 mm hypopyon, dehiscent LASIK flap), T++ |
20/200 |
Topical (moxifloxacin, natamycin, vancomycin, ceftazidime), oral (doxycycline, acetazolamide), LASIK, subconjunctival injection of vancomycin, ceftazidime |
20/20 |
2 |
Flap amputation, amphotericin B 50 mcg/ml (interface wash, intrastromal and intracameral injection), topical (amphotericin B 0.15%, natamycin 5%), oral (itraconazole, doxycycline) |
3.5 mm perforation |
Aspergillus fumigatus |
Lid edema, chemosis, ciliary injection, cornea (hypothesia, central interface infiltrates 4 × 4 mm, endothelial plaque, heaped up hypopyon, macerated LASIK flap), Tn |
CF close to the face |
Topical (moxifloxacin, natamycin, vancomycin, ceftazidime), LASIK, subconjunctival injection of vancomycin, ceftazidime |
20/40 |
3 |
Amphotericin B 50 mcg/ml (interface wash, intrastromal injection), topical (amphotericin B 0.15%, natamycin 5%), oral (itraconazole, doxycycline, acetazolamide) |
3.5 mm perforation |
Aspergillus fumigatus |
Lid edema, chemosis, ciliary injection, cornea (hypothesia, inferior interface infiltrates 4 × 2 mm, endothelial plaque, heaped up 1 mm hypopyon, healthy LASIK flap), T++ |
HM |
Topical (moxifloxacin, natamycin, vancomycin, amikacin), oral (doxycycline), LASIK, subconjunctival injection of vancomycin, amikacin |
20/40 |
4 |
Flap amputation, amphotericin B 50 mcg/ml (interface wash, intrastromal injection), topical (amphotericin B 0.15%, natamycin 5%), oral (itraconazole, doxycycline) |
4 mm perforation |
Aspergillus fumigatus |
Lid edema, chemosis, ciliary injection, cornea (hypothesia, central interface infiltrates 5 × 4 mm, endothelial plaque, heaped up 1.5 mm hypopyon, macerated LASIK flap), T+ |
CF close to the face |
Topical (moxifloxacin, vancomycin, ceftazidime, natamycin), oral (acetazolamide), LASIK, subconjunctival injection of vancomycin, ceftazidime |
20/20 |
5 |
Flap amputation, amphotericin B 50 mcg/ml (interface wash, intrastromal and intracameral injection twice), topical (amphotericin B 0.15%, natamycin 5%), oral (itraconazole, doxycycline) |
4.5 mm perforation |
Aspergillus fumigatus |
Lid edema, ciliary injection, cornea (hypothesia, central interface infiltrates 6 × 5.5 mm, endothelial plaque, peripheral satellites, heaped up 3 mm hypopyon, melted LASIK flap), Tn |
HM |
Topical (moxifloxacin, natamycin, vancomycin, ceftazidime), oral (fluconazole, vitamin C, doxycycline), LASIK, Interface wash with (steroid, moxifloxacin, BSS), subconjunctival injection of vancomycin, ceftazidime |
20/80 |