Unilateral Streptococcus pneumoniae microbial keratitis after small-incision lenticule extraction

A 25-year-old woman had bilateral small-incision lenticule extraction (SMILE) for myopic astigmatism. Three days after the procedure, she noted pain, redness, tearing, and photophobia of the left eye. The uncorrected distance visual acuity (UDVA) was 6/12. Slitlamp examination revealed 2 anterior stromal infiltrates at the SMILE interface, haze, and an epithelial defect in the left eye. The right eye was normal. The patient was initially treated...