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| 21. |
Flap Haze After Epithelial Debridement and Flap Hydration for Treatment of Post–Laser In Situ Keratomileusis Striae |
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Cornea,
Volume 20,
Issue 3,
2001,
Page 339-341
Irene Kuo,
Richard Ou,
David Hwang,
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PDF (392KB)
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摘要:
Purpose.To report a case of corneal haze after attempts to eliminate post–laser in situ keratomileusis (LASIK) lamellar striae.Methods.Case report.Results.A 24-year-old woman with visually significant flap striae 2 months after LASIK underwent manual epithelial debridement and flap hydration, refloating, and stretching to eliminate the striae. Three weeks after this intervention, she developed visually significant haze that was confined to the stroma of the flap. The haze slowly improved with use of a topical steroid.Conclusion.Stromal haze can develop after treatment of flap striae with epithelial debridement and hypo-osmolar irrigation. We speculate that these maneuvers may have induced cell death of anterior keratocytes and led to haze formation, as can occur after simple epithelial debridement and epithelial scrape-photorefractive keratectomy.
ISSN:0277-3740
出版商:OVID
年代:2001
数据来源: OVID
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| 22. |
Principles and Practice of Ophthalmology—2nd ed, CD-ROM |
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Cornea,
Volume 20,
Issue 3,
2001,
Page 341-341
Francisco Garcia-Ferrer,
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ISSN:0277-3740
出版商:OVID
年代:2001
数据来源: OVID
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| 23. |
Aspergillus fumigatusKeratitis After Laser In Situ Keratomileusis |
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Cornea,
Volume 20,
Issue 3,
2001,
Page 342-344
Irene Kuo,
Todd Margolis,
Vicky Cevallos,
David Hwang,
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PDF (386KB)
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摘要:
Purpose.To report a case ofAspergillus fumigatuskeratitis after a laser in situ keratomileusis (LASIK) enhancement procedure.Method.Case report.Results.A 56-year-old woman developed an ulcer in the flap 13 days after LASIK enhancement. A 4-week course of fortified antibiotics for a presumed bacterial infection followed. The ulcer progressed, causing 60% thinning of the corneal stroma. A biopsy was performed 5 weeks after onset of symptoms, and antifungal agents were initiated. Cultures showedA. fumigatus. Her cornea perforated after the biopsy, requiring cyanoacrylate and lamellar overlay sutures, but the infiltrate resolved on antifungal agents.Conclusion.This report is the first description ofAspergilluskeratitis after LASIK. We hypothesize that the infection became established on the stromal bed during surgery and led to melting, anteriorly through the flap and posteriorly through the stroma. Diagnosis was made by a corneal biopsy and inoculation of a wide array of media. This case demonstrates the need to consider atypical organisms, including fungi, in the differential diagnosis of post-LASIK infections when there is no response to therapy and highlights the role of corneal biopsy and flap lifting in the diagnosis of this condition.
ISSN:0277-3740
出版商:OVID
年代:2001
数据来源: OVID
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