Idiopathic recurrence of diffuse lamellar keratitis after LASIK.
Details
Serval ID
serval:BIB_0B5D2365DB7F
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Idiopathic recurrence of diffuse lamellar keratitis after LASIK.
Journal
Journal of refractive surgery
ISSN
1081-597X (Print)
ISSN-L
1081-597X
Publication state
Published
Issued date
09/2007
Peer-reviewed
Oui
Volume
23
Number
7
Pages
720-721
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
To report a case of late recurrence of bilateral diffuse lamellar keratitis (DLK) after LASIK.
A 39-year-old woman presented in the early postoperative period with bilateral DLK after hyperopic LASIK and was treated with topical steroids. One year after and with no obvious cause (idiopathic), recurrence of the same stage (stage III) of disease was observed.
Slit-lamp examination revealed diffuse, multifocal, and granular haze in the interface. The microbiology culture was negative. Confocal microscopy demonstrated multiple activated keratocytes, debris, and inflammatory cells adjacent to the flap interface. After intense treatment with topical corticosteroids, DLK resolved and corneal transparency was achieved with complete restoration of visual acuity.
Diffuse lamellar keratitis may recur in LASIK patients with previous episodes without an obvious cause (idiopathic). Early diagnosis and treatment with topical corticosteroids can achieve complete resolution without visual loss--even in advanced stages of DLK.
A 39-year-old woman presented in the early postoperative period with bilateral DLK after hyperopic LASIK and was treated with topical steroids. One year after and with no obvious cause (idiopathic), recurrence of the same stage (stage III) of disease was observed.
Slit-lamp examination revealed diffuse, multifocal, and granular haze in the interface. The microbiology culture was negative. Confocal microscopy demonstrated multiple activated keratocytes, debris, and inflammatory cells adjacent to the flap interface. After intense treatment with topical corticosteroids, DLK resolved and corneal transparency was achieved with complete restoration of visual acuity.
Diffuse lamellar keratitis may recur in LASIK patients with previous episodes without an obvious cause (idiopathic). Early diagnosis and treatment with topical corticosteroids can achieve complete resolution without visual loss--even in advanced stages of DLK.
Keywords
Adult, Dexamethasone/administration & dosage, Female, Glucocorticoids/administration & dosage, Humans, Hyperopia/surgery, Keratitis/diagnosis, Keratitis/drug therapy, Keratitis/etiology, Keratomileusis, Laser In Situ/adverse effects, Microscopy, Confocal, Recurrence, Visual Acuity
Pubmed
Web of science
Create date
02/10/2019 10:00
Last modification date
06/10/2019 6:26
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