Severe late-onset recurrent epithelial erosion with diffuse lamellar keratitis after laser in situ keratomileusis
- 1 October 2003
- journal article
- case report
- Published by Wolters Kluwer Health in Journal of Cataract & Refractive Surgery
- Vol. 29 (10) , 2019-2021
- https://doi.org/10.1016/s0886-3350(03)00228-1
Abstract
A 39-year-old woman had laser in situ keratomileusis that was complicated by intraoperative epithelial erosion in both eyes. Seven months after surgery, the patient returned, complaining of pain and blurred vision in the left eye. Slitlamp examination revealed corneal epithelial erosion with severe diffuse lamellar keratitis (DLK). Reepithelialization was complete in several days. However, severe inflammation remained until systemic steroids were administered. Recurrent erosions can lead to a serious inflammatory reaction such as DLK because of the presence of the flap—stroma interface.Keywords
This publication has 9 references indexed in Scilit:
- Epithelial ingrowth after laser in situ keratomileusis: clinical features and possible mechanismsAmerican Journal of Ophthalmology, 2002
- Risk factors for intraoperative epithelial defect in laser in-situ keratomileusisAmerican Journal of Ophthalmology, 2002
- LASIK ComplicationsSurvey of Ophthalmology, 2001
- Symptoms of dry eye and recurrent erosion syndrome after refractive surgeryJournal of Cataract & Refractive Surgery, 2001
- Recurrent Corneal Erosion After Laser In Situ KeratomileusisCornea, 2001
- Sloughing of corneal epithelium and wound healing complications associated with laser in situ keratomileusis in patients with epithelial basement membrane dystrophyAmerican Journal of Ophthalmology, 2000
- Epithelial ingrowth after laser in situ keratomileusisAmerican Journal of Ophthalmology, 2000
- Natural history of recurrent erosion syndrome---a 4 year review of 117 patientsBritish Journal of Ophthalmology, 1998
- Recurrent corneal erosion associated with Alport's Syndrome Rapid CommunicationKidney International, 1997