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Peripheral sterile corneal infiltrates after refractive surgery
Tova Lifshitz1, Jaime Levy, Ori Mahler
1Department of Ophthalmology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Journal of Cataract and Refractive Surgery
|August 18, 2005
Summary
Peripheral sterile corneal infiltrates can occur after refractive surgery, presenting as stromal infiltrates. Prompt treatment with steroids and antibiotics leads to good visual outcomes, but differentiation from infectious keratitis is crucial.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Refractive Surgery
Background:
- Refractive surgery aims to correct vision errors.
- Complications can arise, necessitating careful monitoring.
- Peripheral sterile corneal infiltrates are a rare post-operative finding.
Observation:
- Five eyes in three patients developed peripheral sterile corneal infiltrates post-refractive surgery.
- Symptoms included ocular pain within 1-3 days.
- Infiltrates were ring-shaped, peripheral to the flap edge, with intact epithelium and no anterior chamber reaction.
Findings:
- Treatment involved topical and systemic steroids and antibiotics.
- All cases showed improvement within days.
- Final visual acuity was 20/25 or better in all affected eyes.
Implications:
- Distinguishing sterile infiltrates from infectious keratitis is critical due to different management strategies.
- Prompt diagnosis and treatment are essential for favorable visual outcomes.
- Understanding the etiology of these infiltrates is important for preventing future occurrences.