1/25. Sterile interface keratitis after laser in situ keratomileusis: three episodes in one patient with concomitant contact dermatitis of the eyelids.PURPOSE: To illustrate a case in which sterile interface keratitis after laser in situ keratomileusis (LASIK) occurred concomitantly with an allergic contact dermatitis of the eyelids. methods: Retrospective case review. RESULTS: Resolution of the interface keratitis and dermatitis occurred following an intense course of topical corticosteroids and brief course of oral corticosteroids. Despite an attempt to eliminate potential causes, the same patient developed interface keratitis in the fellow eye following both the initial LASIK and an enhancement, in which no microkeratome was used. Intense treatment with both topical and oral corticosteroids led to a final uncorrected visual acuity of 20/20 in the right eye and 20/25 2 in the left eye. CONCLUSION: The etiology and mechanism of sterile interface keratitis after LASIK are unknown, but are probably multifactorial. The concomitant contact dermatitis reaction may indicate a common immune mechanism.- - - - - - - - - - ranking = 1keywords = keratitis (Clic here for more details about this article) |
2/25. Sterile interface keratitis associated with micropannus hemorrhage after laser in situ keratomileusis.Numerous etiologies have been suspected to lead to sterile interface keratitis after laser in situ keratomileusis. This tan interface haze with a rippled appearance has been called Sands of the Sahara. We present 2 cases in which red blood cells entered the interface after a small hemorrhage from peripheral corneal vascularization during the microkeratome pass. Although this bleeding was controlled and all visible blood cells were removed at surgery, both patients developed the appearance of a focal interface keratitis on the first postoperative day.- - - - - - - - - - ranking = 0.75keywords = keratitis (Clic here for more details about this article) |
3/25. Diffuse interface keratitis after laser in situ keratomileusis (LASIK): a nonspecific syndrome.PURPOSE: To characterize the presentation of diffuse interface keratitis after laser in-situ keratomileusis (LASIK). methods: Case report. RESULTS: Diffuse interface keratitis occurred in the left eye of a postoperative LASIK patient after central epithelial debridement without exposure of the flap margin or elevation of the flap. CONCLUSION: Diffuse interface keratitis is a nonspecific presentation of corneal inflammation after LASIK, with accumulation of inflammatory cells in the potential space of the interface. Diffuse interface keratitis after LASIK may have multiple causes.- - - - - - - - - - ranking = 1keywords = keratitis (Clic here for more details about this article) |
4/25. serratia marcescens corneal ulcer as a complication of orthokeratology.PURPOSE: To report a case of serratia marcescens corneal ulcer as a complication of orthokeratology treatment. methods: Case report. RESULTS: A 9-year-old male who underwent orthokeratology treatment for 6 months suffered from a corneal ulcer. The refractive state of lesion eye was -5.5D/-1.25D x 180 degrees, and visual acuity was hand motion at 30 cm. He wore a retainer lens, rigid gas permeable lens, overnight for 2 months before the corneal ulcer occurred. Ulcer became worse after tobramycin and gentamycin treatment for 2 days. After ciprofloxacin treatment, the ulcer healed and visual acuity recovered to 20/20 with spectacle correction. Cultures of the cornea tissue and contact lens storage solution both grew serratia marcescens, which was sensitive to ciprofloxacin. CONCLUSION: Overnight wearing of a rigid contact lens is a risk factor for a corneal ulcer.- - - - - - - - - - ranking = 0.59636607970998keywords = corneal ulcer, ulcer (Clic here for more details about this article) |
5/25. Presumed reactivation of herpes zoster ophthalmicus following laser in situ keratomileusis.PURPOSE: To report a case of herpes zoster ophthalmicus reactivation following laser in situ keratomileusis (LASIK) for myopia. methods: A 54-year-old healthy male underwent uneventful bilateral LASIK for the correction of myopia and astigmatism (-5.75 -3.00 x 20 degrees right eye, -5.50 -3.00 x 170 degrees left eye). Two months following LASIK, an epithelial dendritic lesion appeared in the lower third of the corneal flap of the left eye with vesiculoulcerative lesions of the lateral side of the tip of the nose. RESULTS: The patient was treated with topical and oral antiviral agents and had complete recovery of the lesions in 10 days. CONCLUSIONS: Herpes zoster reactivation may occur following LASIK. Reactivation of herpes zoster in this case could have been coincidental, or secondary to LASIK and the subsequent use of topical corticosteroids following LASIK.- - - - - - - - - - ranking = 0.0001032558295355keywords = ulcer (Clic here for more details about this article) |
6/25. Infectious keratitis in orthokeratology.Orthokeratology is a method of changing refraction in myopic patients by using rigid contact lenses to reduce the curvature of the cornea. This treatment was in use in the two cases of corneal ulcer described in this paper and appears to have contributed to the development of their disease. As with extended wear contact lenses, patients undergoing orthokeratology treatment are frequently advised to wear the orthokeratology lenses overnight increasing the risk of corneal ulceration and infection. patients should be adequately warned of the associated risks and advised that any envisaged benefits of the procedure are temporary.- - - - - - - - - - ranking = 0.64906570597011keywords = keratitis, corneal ulcer, ulcer (Clic here for more details about this article) |
7/25. Bilateral marginal sterile infiltrates and diffuse lamellar keratitis after laser in situ keratomileusis.PURPOSE: To report cases of acute bilateral catarrhal infiltrates in the early postoperative period after laser in situ keratomileusis (LASIK). methods: Retrospective review of both eyes of two patients. RESULTS: Two patients developed acute bilateral, marginal, catarrhal infiltrates in the early postoperative period after LASIK. Both patients had moderate to severe chronic meibomian gland dysfunction preoperatively. One patient (both eyes) developed grade 3 diffuse lamellar keratitis (DLK) that required both flaps to be lifted for irrigation and cleaning on postoperative day 5. Fungal and bacterial cultures were negative in both eyes of both patients. The condition resolved with intensive topical corticosteroids and fortified antibiotics. Regression of refractive error and the need for enhancement was encountered in all eyes. There was mild recurrence in one eye of each patient with pretreatment with topical corticosteroids prior to enhancement. CONCLUSIONS: Endogenous factors such as chronic blepharitis and meibomian gland dysfunction may trigger inflammation resulting in sporadic cases of catarrhal infiltrates after LASIK. These patients may have chronic inflammatory milieus that can trigger sporadic cases of catarrhal infiltrates after LASIK, with accompanying diffuse lamellar keratitis.- - - - - - - - - - ranking = 0.75keywords = keratitis (Clic here for more details about this article) |
8/25. acremonium fungal infection in 4 patients after laser in situ keratomileusis.We present 4 patients who had laser in situ keratomileusis and were referred to our clinic with a diagnosis of infectious keratitis. Laser in situ keratomileusis was performed in all cases in the same operating room by different surgeons between April and May 2002. A partial penetrating keratoplasty was performed in all patients to control the process. A study of the corneas demonstrated the presence of the fungus acremonium in all cases. Rigid asepsis during the surgical procedure is important to prevent this serious complication.- - - - - - - - - - ranking = 0.125keywords = keratitis (Clic here for more details about this article) |
9/25. Diffuse lamellar keratitis and corneal edema associated with viral keratoconjunctivitis 2 years after laser in situ keratomileusis.A 47-year-old woman with a history of laser in situ keratomileusis (LASIK) 2 years previously for myopia and astigmatism, presented with bilateral loss of vision due to diffuse lamellar keratitis (DLK) with corneal edema in the context of a pseudomembranous viral keratoconjunctivitis. After intense and early treatment with topical corticosteroids, the corneal edema and DLK resolved and corneal transparency was achieved with complete restoration of visual acuity. This case shows that DLK may occur associated with a viral pseudomembranous keratoconjunctivitis in patients who have had LASIK. Diffuse lamellar keratitis may present up to 2 years after lamellar surgery, which would indicate that the plane created by the microkeratome at the interface may remain unhealed for at least this period of time. early diagnosis and treatment with topical corticosteroids can achieve complete resolution without visual loss.- - - - - - - - - - ranking = 0.75keywords = keratitis (Clic here for more details about this article) |
10/25. Pellucid marginal degeneration and scleroderma.Systemic scleroderma is a progressive multi-system connective tissue disease. Ocular involvement includes keratoconjunctivitis sicca, progressive shallowing of conjunctival fornices, peripheral ulcerative keratitis and eyelid tightness. No association has been reported between scleroderma and pellucid marginal degeneration, which is a rare bilateral corneal ectasia. Pellucid marginal degeneration is characterised by non-inflammatory and progressive peripheral corneal thinning inferiorly, often with high against-the-rule astigmatism. We report a case of a 55-year-old woman with systemic scleroderma who presented with rapidly progressing against-the-rule astigmatism. The differential diagnosis of peripheral corneal thinning and the challenge of the surgical management of pellucid marginal degeneration are briefly discussed.- - - - - - - - - - ranking = 0.12510325582954keywords = keratitis, ulcer (Clic here for more details about this article) |
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