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Late Occurrence of Diffuse Lamellar Keratitis After Laser In Situ Keratomileusis
Arch Ophthalmol. 2001;119:1074-1076.
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Diffuse lamellar keratitis (DLK) is a noninfectious inflammatory complication
associated with laser in situ keratomileusis (LASIK).1
Post-LASIK sterile interface keratitis has also been described as "sands of
the Sahara syndrome" and "central focal interface opacity after LASIK."2-3 The corneal infiltrates may be
focal or multifocal but remain confined to the lamellar interface without
extension, anterior chamber reaction, or associated epithelial defect. Common
to all previously reported cases is an onset within 1 month after LASIK treatment,
enhancement, or flap manipulation.1-4
We report 2 cases of DLK appearing after the immediate postoperative period
(2-7 months after LASIK), 1 of which had bilateral involvement.
Report of Cases
Case 1
A 48-year-old woman with euthyroidism and a treatment history of hypothyroidism
underwent bilateral sequential LASIK using a 180-µm Hansatome microkeratome
(Bausch and Lomb, Rochester, NY) and a Summit Apex Plus excimer laser (Summit
Technology, Waltham, Mass). Preoperative refraction of -4.75 +1.50 x
092 OD and -4.50 +1.75 x . . . [Full Text of this Article] Case 2
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ABSTRACT
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