Bilateral Corneal Thinning Post-Photorefractive Keratectomy Secondary to Untreated Staphylococcal Blepharitis

Abstract

1. Abstract
Photorefractive keratectomy (PRK) has been shown to be an effective surgical treatment for ametropic conditions. However, PRK is associated with potential side effects which include glare, halos, dry eye, haze, and corneal infection. This report focused on the continued management and documentation of an unusual presentation of infectious keratitis secondary to previously untreated blepharitis in a 29-year-old healthy Caucasian male. He underwent bilateral PRK one month prior and was formally diagnosed with non-resistant staphylococcus aureus keratitis in both eyes. His uncorrected visual acuity was in the normal range in both eyes (OU). Examination revealed inferior arc-shaped corneal thinning. Anterior segment photography and corneal topography were performed on both eyes, and he was diagnosed with resolving staphylococcus keratitis with persistent inferior thinning OU. The present report documents the management and, more importantly, unusual appearance of peripheral arc-shaped corneal thinning secondary to PRK treatment of eyes with previously undetected and untreated staphylococcus blepharitis.