Related Experiment Videos
Delayed diffuse lamellar keratitis after laser in situ keratomileusis.
1Concord Repatriation General Hospital, New South Wales, Australia. jonyeoh@hotmail.com
Clinical & Experimental Ophthalmology
|January 10, 2002
Summary
Delayed diffuse lamellar keratitis can occur weeks after laser eye surgery. Epithelial defects in patients with rosacea may lead to this condition, requiring prompt treatment.
Area of Science:
- Ophthalmology
- Corneal Surgery
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Complications, though rare, require thorough investigation.
Observation:
- Two cases of delayed diffuse lamellar keratitis (DLK) after uneventful LASIK are presented.
- Both patients had a history of rosacea and developed epithelial defects post-surgery.
- Implanted debris was noted without initial inflammatory reaction.
Findings:
- Epithelial defects preceded the onset of DLK in both cases.
- Treatment with topical corticosteroids and antibiotics led to resolution.
- The condition is suggested to be an epithelial defect-associated corneal infiltration.
Implications:
- This presentation highlights a potential, albeit uncommon, complication of LASIK.
- Early recognition and management of epithelial defects are crucial in post-LASIK care.
- Understanding the role of underlying conditions like rosacea may inform preventative strategies.