A Case of Corneal Opacity Improved by Treatment of Demodex Blepharitis.
10.3341/jkos.2014.55.10.1558
- Author:
Jung HUH
1
;
Kyoung Woo KIM
;
Jae Chan KIM
Author Information
1. Department of Ophthalmology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. jck50ey@hanmail.net
- Publication Type:Case Report
- Keywords:
Corneal neovascularization;
Corneal opacity;
Demodex blepharitis LASIK;
LASIK
- MeSH:
Blepharitis*;
Corneal Neovascularization;
Corneal Opacity*;
Dexamethasone;
Eyelashes;
Eyelids;
Female;
Humans;
Keratomileusis, Laser In Situ;
Meibomian Glands;
Middle Aged;
Telangiectasis;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2014;55(10):1558-1561
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of corneal opacity improved by treatment of demodex blepharitis. CASE SUMMARY: A 50-year-old female who received sub-laser-assisted in situ keratomileusis (LASIK) flap surgery was referred to our clinic with corneal opacity and neovascularization in her left eye. Her visual acuity was 0.5. Telangiectasis of the eyelid margin and meibomian gland dysfunction were observed. Seven Demodex folliculorum were found in 4 eyelashes of the left eye. Lid scrub with 0.4% polyhexamethylene biguanide (PHMB) and ointment containing dexamethasone was started for demodex blepharitis treatment. After 6 months of treatment, the number of Demodex folliculorum was decreased to 2 and the best corrected visual acuity was 0.8. Corneal opacity and neovascularization were also improved. CONCLUSIONS: The present study showed that demodex blepharitis can induce atypical corneal opacity and neovascularization after LASIK surgery. Evaluation and treatment of demodex blepharitis in these patients is important.
