Bilateral Peripheral Infiltrative Keratitis After LASIK.
10.3341/kjo.2007.21.3.172
- Author:
Sung Woon MOON
1
;
Yong Hwan KIM
;
Seung Chan LEE
;
Mi Ae LEE
;
Kyung Hyun JIN
Author Information
1. Department of Ophthalmology, Kyung Hee University College of Medicine, Seoul, Korea. khjinmd@khmc.or.kr
- Publication Type:Case Report
- Keywords:
DLK;
LASIK;
topical corticosteroid
- MeSH:
Adult;
Anti-Inflammatory Agents/therapeutic use;
Bacterial Infections;
Diagnosis, Differential;
Female;
Humans;
Keratitis/diagnosis/drug therapy/*etiology/microbiology;
Keratomileusis, Laser In Situ/*adverse effects;
Mycoses;
Prednisolone/analogs & derivatives/therapeutic use;
Surgical Flaps/adverse effects
- From:Korean Journal of Ophthalmology
2007;21(3):172-174
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To present a case of peripheral infiltrative keratitis mimicking infectious keratitis on the flap margin and limbus, which appeared on the first postoperative day after the laser in situ keratomileusis (LASIK). METHODS: A 36-year-old woman who underwent uneventful bilateral simultaneous LASIK developed multiple round infiltrate along the flap margin reaching to limbus from the 11 o'clock to 6 o'clock area in both eyes. RESULTS: The flap was lifted and irrigation was performed with antibiotics. but infiltration seemed to appear again. The infiltrate was more concentrated at the periphery and was extended to the limbus. Direct smear and culture for bacteria and fungus were negative. Topical prednisolone acetate 1% eye drops was added, infiltrative condition was resolved. CONCLUSIONS: LASIK induced peripheral infiltrative keratitis, in which infectious origin was ruled out, is reported.
