Diagnosis, Clinical Trend, and Treatment of Diffuse Lamellar Keratitis after Femtosecond Laser-Assisted in situ Keratomileusis: A Case Report

被引：5

作者：

Balestrazzi, Angelo ^{[1
]}

Balestrazzi, Alessandra ^{[2
]}

Giannico, Maria Ilaria ^{[3
]}

Michieletto, Paolo ^{[2
]}

Balestrazzi, Emilio ^{[3
]}

机构：

[1] Misericordia Hosp, Ophthalm Unit, Via Senese, IT-58100 Grosseto, Italy

[2] Ophthalm Hosp, Rome, Italy

[3] Balestrazzi Associated Ophthalmol Practice, Rome, Italy

来源：

CASE REPORTS IN OPHTHALMOLOGY | 2018年 / 9卷 / 03期

关键词：

Diffuse lamellar keratitis; Femtosecond laser; LASIK;

D O I：

10.1159/000493338

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

We report a severe case of diffuse lamellar keratitis (DLK) following femtosecond laser-assisted in situ keratomileusis (femto-LASIK). A 25-year-old man was submitted to 150 kHz iFS (R) Intra-Lase-assisted LASIK in both eyes for compound myopic astigmatism. The day after surgery, clinical examination showed a diffuse whitish granular cell reaction particularly in the right eye. High-dose dexamethasone eyedrops with topical antibiotic and artificial tears were prescribed. Five days after surgery, a central corneal opacity with convergent striae was detected at biomicroscopy. The suspicion of DLK was confirmed. Additional therapy based on hyperosmolar ophthalmological solution, oral doxycycline, and topical 10% sodium citrate was prescribed. Treatment was continued and tapered for over 3 months. Improvement in corneal transparency were obtained 2 weeks after the systemic therapy had been started. Uncorrected visual acuity improved from 20/32 to 20/20 at 1-year follow-up. DLK represents an infrequent complication after femto-LASIK. It should resolve without sequelae if promptly diagnosed and treated, without necessity of corneal flap lifting. (C) 2018 The Author(s) Published by S. Karger AG, Basel

引用

页码：457 / 464

页数：8

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