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[Late onset diffuse lamellar keratitis].
Rie Amano1, Koji Ohno, Kimiya Shimizu
1Department of Ophthalmology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara 228-8555, Japan.
Nippon Ganka Gakkai Zasshi
|May 21, 2003
Summary
Diffuse lamellar keratitis (DLK), an inflammation after laser in situ keratomileusis (LASIK) surgery, can manifest months later. Early corticosteroid treatment effectively resolves these delayed DLK cases.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Refractive Surgery
Background:
- Diffuse lamellar keratitis (DLK) typically presents within two weeks post-LASIK.
- Characterized by infiltrates at the LASIK interface, DLK is culture-negative and non-infectious.
Observation:
- Two cases of DLK occurred three months after LASIK surgery.
- Patients presented with delayed onset of DLK symptoms.
Findings:
- Intensive topical corticosteroid treatment was administered to both patients.
- Rapid improvement in visual acuity, symptoms, and slit-lamp findings was observed following treatment.
Implications:
- DLK can occur significantly later than the typical postoperative period.
- Topical corticosteroids are an effective treatment for delayed-onset DLK.