UMDNJ-NJMS Ophthalmology: Case of the Month

CASE OF THE MONTH

CASE #22

REFRACTIVE SURGERY

POSTOPERATIVE OUTCOME

FIRST POSTOPERATIVE DAY

Visual Acuity
— OD: 20/100 improving to 20/30 with pinhole
— OS: counting fingers at 4 feet; no improvement with pinhole
Slit Lamp Examination
— OD: Stable infiltrate with healed epithelium
— OS: Flap successfully repositioned; resolving epithelial defect

The patient was given a cycloplegic.

THIRD POSTOPERATIVE DAY

Clinically stable profile
Culture Results
— The cultures were positive for Staphylococcus epidermidis (sensitive to all antibiotics).
— The cultures were negative for acid-fast bacilli (AFB).

The patient was instructed to continue the prescribed therapy.