PMC8077540_01
Clinical progression of herpetic keratitis in post-SMILE patient. a-c Clinical images of the patient's right eye at day 2 postoperatively. Multiple, stromal, white infiltrates were evident within the interface area, and there was a central epithelial defect related to the surgical incision. d-f Clinical evolution following rinsing of the stromal pocket with balanced salt solution and the administration of moxifloxacin eye drops. Endothelial deposits were evident and a peripheral ring-shape infiltrate appeared. In addition, the epithelial defect was larger than previously observed. g-i Clinical images at 3-month follow-up showing absolute absence of corneal infiltrates and edema. A complete reepithelization was achieved. SMILE, small-incision lenticule extraction.
cop-0012-0227-g01.jpg
PMC8077540_01_cop-0012-0227-g01.jpg
F1
Ocular slit-lamp examination of the right eye revealed several white infiltrates within the interface, a central epithelial defect, keratic precipitates on the endothelium, 2+ cells in the anterior chamber (shown in Fig. 1a-c), and intraocular hypertension. An initial diagnosis of unilateral infectious keratitis was made, and the patient was moved to the clinic's operating room, where his right eye was irrigated with balanced saline solution and topical moxifloxacin was administered via the stromal pocket (as seen in Fig. 1d-f). After 3 weeks of treatment, the infection by HSV resolved (Fig. 1g-i), although the patient's UDVA remained at counting fingers at 30 cm.