Surgically induced corneal necrotizing keratitis following LASIK in a patient with inflammatory bowel disease

被引：18

作者：

Carp, Glenn I. ^{[1
]}

Verhamme, Thibault ^{[2
]}

Gobbe, Marine ^{[1
]}

Ayliffe, William H. ^{[2
,3
]}

Reinstein, Dan Z. ^{[1
,4
,5
,6
]}

机构：

[1] London Vis Clin, London W1G 7LA, England

[2] Mayday Univ Hosp, Eye Unit, London, England

[3] Lister Hosp, London, England

[4] Kings Coll London, Dept Ophthalmol, St Thomas Hosp, London WC2R 2LS, England

[5] Cornell Univ, Weill Med Coll, Dept Ophthalmol, New York, NY 10021 USA

[6] Ctr Hosp Natl Ophtalmol, Paris, France

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 2010年 / 36卷 / 10期

关键词：

DIFFUSE LAMELLAR KERATITIS; IN-SITU KERATOMILEUSIS; CATARACT-EXTRACTION; ULCERATION;

D O I：

10.1016/j.jcrs.2010.06.046

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

We describe a case of necrotizing keratitis that developed after laser in situ keratomileusis (LASIK) in a 50-year-old woman with inflammatory bowel disease. The patient had not disclosed her history of a total colectomy for recurrent ulcerative colitis and developed bilateral stromal inflammation and corneal melting along the flap edge with ulceration within 3 days of uneventful bilateral LASIK for myopia. She was aggressively managed with topical and systemic corticosteroid therapy. Flap infiltrates gradually resolved, with no relapse during the 12-month follow-up. This case highlights the importance of taking a detailed history, specifically addressing autoimmune diseases, before corneal refractive surgery.

引用

页码：1786 / 1789

页数：4

共 13 条

[1] Peripheral ulcerative keratitis after clear corneal cataract extraction [J].