{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:23:24Z","timestamp":1745468604445,"version":"3.40.4"},"reference-count":9,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Ophthalmol"],"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Introduction:&lt;\/i&gt;&lt;\/b&gt; This case report describes a rare case of fungal keratitis following femtoLASIK. Despite targetted antifungal therapy, this case necessitated an innovative surgical approach to manage an unexpected corneal perforation. &lt;b&gt;&lt;i&gt;Case Presentation:&lt;\/i&gt;&lt;\/b&gt; A 35-year-old male presented 3 weeks post-femtoLASIK for myopic astigmatism with discomfort and reduced vision in his right eye. He was diagnosed with fungal keratitis surgery caused by &lt;i&gt;Purpureocillium lilacinum&lt;\/i&gt; and was treated with a myriad of therapy. Unfortunately, the patient developed corneal perforation during flap lift and flap bed irrigation. An innovative approach involving a tectonic autograft using a viable LASIK flap, followed by prompt penetrating keratoplasty, was utilised. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; This technique was effective and able to mitigate the progression to an open globe. <\/jats:p>","DOI":"10.1159\/000538062","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T22:00:39Z","timestamp":1711663239000},"page":"273-278","source":"Crossref","is-referenced-by-count":0,"title":["Fungal Keratitis Post-FemtoLASIK: A Novel Therapeutic Approach with LASIK Flap Autograft and Penetrating Keratoplasty: A Case Report"],"prefix":"10.1159","volume":"15","author":[{"given":"Jackson Chee Chea","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yachana Vaibhav","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah Kathleen","family":"Gooding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graham David","family":"Barrett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2024,3,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2011.05.006"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2004.02.007"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2008.11.016"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000217"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2008.12.037"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00705-016-3045-y"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_1151_19"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e22693"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000741"}],"container-title":["Case Reports in Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/cop\/article-pdf\/15\/1\/273\/4221539\/000538062.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/cop\/article-pdf\/15\/1\/273\/4221539\/000538062.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:09:40Z","timestamp":1745420980000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000538062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,28]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000538062","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.25298767","asserted-by":"subject"}]},"ISSN":["1663-2699"],"issn-type":[{"type":"electronic","value":"1663-2699"}],"subject":[],"published":{"date-parts":[[2024,3,28]]}}}