Diffuse Lamellar Keratitis in a Patient Undergoing Collagen
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This case report describes the development of unilateral stage IV Diffuse Lamellar Keratitis (DLK) in a patient who underwent bilateral corneal cross-linking for corneal ectasia 18 years after LASIK surgery. The patient was treated with high-dose topical steroids that were tapered over 1 month and multiple flap lifts. The ultimate best-corrected visual outcome was 20/60.

DLK is a potential sight-threatening complication of refractive surgery that can occur at any time in the postoperative period, even years after the procedure. Undergoing a subsequent corneal procedure that may disrupt or promote inflammation within the surgical flap–stromal interface, such as corneal collagen cross-linking, is a recognized risk factor for the development of DLK. This case suggests that patients with any history of LASIK surgery undergoing corneal cross-linking or other lamellar corneal surgeries may benefit from closer follow-up (eg, daily) than patients with no history of LASIK.

Read more : https://journals.lww.com/corneajrnl/Abstract/9000/Diffuse_Lamellar_Keratitis_in_a_Patient_Undergoing.95839.aspx
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