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Relapsing Diffuse Lamellar Keratitis After Laser In Situ Keratomileusis Associated With Recurrent Erosion Syndrome
Arch Ophthalmol. 2004;122:396-398.
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Diffuse lamellar keratitis (DLK) is a well-described complication of laser in situ keratomileusis (LASIK) that generally occurs within the first week after surgery. Late-onset cases of DLK have been reported to occur many months after surgery and are sometimes associated with recurrent erosions.1-3 We describe 3 patients who had intraoperative epithelial defects and who subsequently developed DLK multiple times in the same location of the same eye, always following an episode of recurrent erosion.
Report of Cases
Case 1
A 33-year-old woman underwent bilateral LASIK in May 2001 for high myopia. Preoperative evaluation revealed clear corneas with no evidence of anterior basement membrane dystrophy. The procedure was uneventful in the right eye. In the left eye, however, a 2.0 x 2.0-mm corneal epithelial defect was noted in the superior paracentral location after creation of the flap, and the epithelium surrounding the defect was noted to be generally poorly adherent to the Bowman layer. A bandage . . . [Full Text of this Article] Case 2 Case 3
Comment
Bennie H. Jeng, MD;
Jay M. Stewart, MD;
Stephen D. McLeod, MD;
David G. Hwang, MD
San Francisco, Calif
Corresponding author: David G. Hwang, MD, Cornea and Refractive Surgery Service, Department of Ophthalmology, 10 Kirkham St, Room K-301, University of California, San Francisco, San Francisco, CA 94143-0730 (e-mail: dghwang@itsa.ucsf.edu).
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