{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T03:26:52Z","timestamp":1784172412847,"version":"3.55.0"},"reference-count":9,"publisher":"BMJ","issue":"5","funder":[{"DOI":"10.13039\/501100005809","name":"Hyderabad Eye Research Foundation","doi-asserted-by":"publisher","award":["LEC-BHR-R-12-23-1160"],"award-info":[{"award-number":["LEC-BHR-R-12-23-1160"]}],"id":[{"id":"10.13039\/501100005809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,4,30]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>We report the case of a female patient in her late 20s who visited the clinic with concerns about poor vision, redness, watering and a burning sensation in her left eye 2\u2009weeks after undergoing a small incision lenticule extraction. She had no history of systemic illness or immunosuppressed status. On slit lamp examination, she was found to have corneal stromal infiltrates in the interface at multiple locations. Given the clinical diagnosis of microbial keratitis, corneal scraping of the interface infiltrate was performed and sent for microbiological examination revealing gram-positive, thin, beaded filaments that were acid-fast positive and later identified by growth in culture media as <jats:italic>Nocardia<\/jats:italic> species. This case was managed successfully with the use of topical amikacin and systemic trimethoprim-sulfamethoxazole with complete resolution of infection.<\/jats:p>","DOI":"10.1136\/bcr-2023-259486","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T13:12:03Z","timestamp":1715778723000},"page":"e259486","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Nocardia<\/i> keratitis after small incision lenticule extraction (SMILE)"],"prefix":"10.1136","volume":"17","author":[{"given":"Mohammed H","family":"Alhemyari","sequence":"first","affiliation":[{"name":"Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranitha","family":"Satarasi","sequence":"additional","affiliation":[{"name":"Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joveeta","family":"Joseph","sequence":"additional","affiliation":[{"name":"Jhaveri Microbiology Centre, L V Prasad Eye Institute, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhupesh","family":"Bagga","sequence":"additional","affiliation":[{"name":"Shantilal Shanghvi Cornea Institute, The Ramoji Foundation Centre for Ocular Infections, L V Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"2025082703404412000_17.5.e259486.1","doi-asserted-by":"crossref","unstructured":"Afsharpaiman S , Zare M , Yasemi M , et al . The prevalence of infectious Keratitis after Keratorefractive surgery: A systematic review and meta-analysis study. 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