Topic outline

  • Grand Rounds

    A middle-aged patient with a history of radial keratotomy in both eyes presented with 3 days of pain, redness, and blurred vision in the right eye. Visual acuity was 20/80 and slit lamp exam was remarkable for a stromal infiltrate with overlying epithelial defect surrounding the 10 o'clock radial keratotomy incision, associated with injection and moderate anterior chamber reaction. Corneal cultures grew pan-sensitive Pseudomonas, and the patient's condition improved with topical antibiotics. At final follow-up, the stromal infiltrate had consolidated to an inactive scar, the eye was white and quiet, and best-corrected visual acuity was 20/25.

    Presentation Date: 12/19/2024
    Issue Date: 02/28/2025