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2002 Ocular Microbiology and Immunology Group, Abstract 6

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Methicillin Resistant Staphylococcus aureus Infectious Keratitis Following Refractive Surgery
Renee Solomon, MD,1 Eric D. Donnenfeld, MD,1 Michael Ehrenhaus, MD,2 Henry D. Perry, MD,1 Seth Biser, MD,1 Roy Rubinfeld, MD3
1Department of Ophthalmology, Nassau University Medical Center, East Meadow, New York,2 Department of Ophthalmology, Catholic Medical Center of Brooklyn and Queens, New York, 3Center for Sight, Georgetown University, Washington, DC

Purpose: To describe risk factors, treatment, and visual outcomes of methicillin resistant Staphylococcus aureus (MRSA) infectious keratitis following refractive surgery.

Methods: Retrospective chart review.

Results: Seven eyes of six patients developed MRSA infections following LASIK or PRK. All patients had a recent history of exposure to a hospital environment. All patients responded to topical vancomycin. Best corrected visual acuity ranged from 20/20 to 20/200.

Conclusion: MRSA infectious keratitis is a rare but potentially serious corneal infection following refractive surgery and is associated with occupational or surgical exposure to a hospital environment.

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