Necrotizing Keratitis after Laser Refractive Surgery in Patients with Inactive Inflammatory Bowel Disease

被引：14

作者：

Aman-Ullah, Muhammad ^{[1
]}

Gimbel, Howard V. ^{[1
,2
]}

Purba, Mona K. ^{[1
]}

van Westenbrugge, John A. ^{[1
]}

机构：

[1] Gimbel Eye Ctr, 450,4935-40 Ave NW, Calgary, AB T3A 2N1, Canada

[2] Loma Linda Univ, Loma Linda, CA 92350 USA

来源：

CASE REPORTS IN OPHTHALMOLOGY | 2012年 / 3卷 / 01期

关键词：

Keratitis Inflammatory bowel disease; Photorefractive keratectomy; Laser-assisted in situ keratomileusis;

D O I：

10.1159/000336567

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Two cases of necrotizing keratitis following laser refractive corneal surgery, with stable and controlled Crohn's disease are described. A 40-year-old woman developed bilateral stromal inflammation and inferior thinning in the right eye along the flap edge within 1 day of uneventful bilateral IntraLase laser-assisted in situ keratomileusis. The other case is a 30-year- old man who also developed bilateral inferior stromal infiltrates 2 days following photorefractive keratectomy. Both cases were aggressively treated with systemic and topical corticosteroids. The infiltrates in both patients gradually resolved, with one relapse during the 7 months period of follow-up in the first case. These cases highlight the importance of taking precautions considering this and similar autoimmune conditions as a relative contraindication to refractive surgery.

引用

页码：54 / 60

页数：7

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