2012, Number 2
<< Back
Rev Cub Oftal 2012; 25 (2)
Diffuse lamellar keratitis after incomplete corneal flap cut
Riveron RY, Ortega DL, Miranda HI, Rodríguez SS
Language: Spanish
References: 16
Page:
PDF size: 387.02 Kb.
ABSTRACT
The diffuse lamellar keratitis is a sterile swelling of the lamellar interface which arises generally 24 hours after laser in situ keratomileusis and might affect the final visual acuity. A 25 years- old patient with history of corneal refractive surgery by laser in situ keratomileusis on his right eye was reported. He suffered from an incomplete corneal flap cut as complication during the surgical procedure, and a diffuse lamellar keratitis was detected at the immediate postsurgical visit. Total visual recovery and the refractive defect stability were attained through local treatment. This allows further correcting the defect by means of a surface refractive surgery in the future.
REFERENCES
Asano-Kato N, Toda I, Tsuruya T, Takano Y, Tsubota K. Diffuse lamellar keratitis and flap margin epithelial healing after in situ keratomileusis. J Refract Surg. 2003;19(1):30-3.
Smith RJ, Maloney RK. Diffuse lamelar keratitis. A new syndrome in lamelar refractive surgery. Ophthalmology. 1998;105(9):1721-6.
Kohnen T, Steinkamp GW, Schnitzler EM, Baumeister M, Wellermann G, Buhren J, Brieden M, et al. LASIK with a superior hinge and scanning spot excimer laser ablation for correction of myopia and myopic astigmatism. Results of a prospective study on 100 eyes with a 1-year follow-up. Ophthalmologe. 2001; 98(1):1044-54.
Holland SP, Mathias RG, Morck DW, Chiu J, Slade SG. Diffuse lamellar keratitis related to endotoxins released from sterilizer reservoir biofilms. Ophthalmology. 2000;107(7):1227-34.
Dada T, Pangtey MS, Sharma N, Vajpayee RB, Jhanji V, Sethi HS. Hyeropic shift after LASIK induced Diffuse lamellar Keratitis. BMC Ophthalmology. 2006;6:19.
Ambrosio R, Wilson SE. Complications of laser in situ keratomileusis: etiology, prevention, and treatment. J Refract Surg. 2001;17(3):350-79.
Peters NT, Iskander NG, Anderson Penno EE, Woods DE, Moore RA, Gimbel HV. Diffuse lamellar keratitis: isolation of endotoxin and demonstration of the inflammatory potential in a rabbit laser in situ keratomileusis model. J Cataract Refract Surg. 2001;27(6):917-23.
Mahnaz NS, Manjula M, Kirk RW, Douglas DK. Diffuse lamellar keratitis associated with epithelial defects after laser in situ keratomileusis. J Cataratc Refract Surg. 2000;26(9):1312-8.
Johnson JD, Harissi-Dagher M, Pineda R, Yoo S, Azar DT. Diffuse lamelar keratitis: incidence, associations, outcomes, and new classification system. J Cataract Refract Surg. 2001;27(10):1560-6.
Osmond Bruce H, Dipika P, Trevor Buchanan G,Trevor Morris A, Peter Ring C. Multifocal lamellar keratitis following laser in situ keratomileusis. J Cataract Refract Surg. 2007;33(1):1447
Boorstein SM, Henk HJ, Elner VM. Atopy: a patient-specific risk factor for diffuse lamellar keratitis. Ophthalmology. 2003;110(1):131-7.
Steiner RF, McColgin AZ, White A, Horsburgh GM. Diffuse interface keratitis after laser in situ keratomileusis (LASIK): Nonspecific syndrome. Am J Ophthalmology. 2000; 129(3):380-1.
Ortega-Usobiaga J, Damas-Mateache B, Llovet Osuna F. Queratitis lamelar difusa en pacientes que no han sido tratados con antinflamatorios tópicos posoperatorios. Microcirugía Ocular. 2006;1.
Levinger E, Slomovic A, Bahar I, Allan R. Diagnosis of steroid-induced elevated intraocular pressure and associated lamellar keratitis after laser in situ keratomileusis using optical coherence tomography. J Cataract Refract Surg. 2009;35(2):3868.
Trattler W B. Queratitis lamelar difusa: un riesgo para toda la vida en ojos tratados con LASIK. J Ophthalmology Times América Latina 2007;11(1):6-7.
Sonmez B, Maloney RK. Central toxic keratopathy: Description of a syndrome in laser refractive surgery. Am J Ophthalmol. 2007;143(3):420-7.