Titre
Idiopathic recurrence of diffuse lamellar keratitis after LASIK.
Type
étude de cas
Institution
Externe
Périodique
Auteur(s)
Kymionis, G.D.
Auteure/Auteur
Diakonis, V.F.
Auteure/Auteur
Bouzoukis, D.I.
Auteure/Auteur
Lampropoulou, I.
Auteure/Auteur
Pallikaris, A.I.
Auteure/Auteur
Liens vers les personnes
ISSN
1081-597X
Statut éditorial
Publié
Date de publication
2007-09
Volume
23
Numéro
7
Première page
720
Dernière page/numéro d’article
721
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
PID Serval
serval:BIB_0B5D2365DB7F
PMID
Date de création
2019-10-02T08:00:42.701Z
Date de création dans IRIS
2025-05-20T16:12:11Z