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Bilateral peripheral infiltrative keratitis after LASIK
Sung-Woon Moon1, Yong-Hwan Kim, Seung-Chan Lee
1Department of Ophthalmology, Kyung Hee University College of Medicine, Seoul, Korea.
Korean Journal of Ophthalmology : KJO
|September 7, 2007
Summary
Peripheral infiltrative keratitis, a condition mimicking infection after laser in situ keratomileusis (LASIK), can occur. Prompt treatment with steroids resolved the non-infectious infiltrates.
Area of Science:
- Ophthalmology
- Corneal Surgery
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Complications, though rare, require careful diagnosis and management.
Observation:
- A case of peripheral infiltrative keratitis presented on postoperative day one after LASIK.
- Infiltrates were observed along the flap margin and limbus in both eyes.
- Initial presentation mimicked infectious keratitis.
Findings:
- Microbiological cultures for bacteria and fungi were negative.
- Antibiotic irrigation of the flap interface did not resolve the infiltrates.
- Topical prednisolone acetate 1% successfully resolved the infiltrative keratitis.
Implications:
- This case highlights a non-infectious cause of peripheral infiltrative keratitis post-LASIK.
- Distinguishing this condition from infectious keratitis is crucial for appropriate treatment.
- Steroid therapy is effective for LASIK-induced peripheral infiltrative keratitis when infection is ruled out.
