原位角膜磨镶术后迟发性弥漫性板层角膜炎(英文)

Delayed onset diffuse lamellar keratitis following laser in situ keratomileusis

目的:报告1例LASIK术后11mo由于角膜损伤引起的弥漫性板层角膜炎(diffuse lamellar keratitis,DLK)。方法:22岁女患者应用laser SightSLX准分子激光机和Moria Ⅱ角膜板层刀行双眼原位角膜磨镶术(laser in situ keratomileusis,LASIK),术中和术后早期未见并发症发生。结果:LASIK术后11mo,由于书页损伤角膜上皮,右眼诊断为Ⅰ级DLK。经局部应用皮质类固醇激素,2wk后DLK很快治愈,没有并发症发生。结论:DLK经常发生于术后早期,但也可发生于术后数月,一旦确诊应迅速治疗,效果良好。

AIM： To report a case of late onset diffuse lamellar keratitis （DLK） after laser in situ keratomileusis（LASIK） in 11 months due to corneal trauma. METHODS： A 22-year-old female patient underwent uneventful bilateral LASlK using a laserSight SLX excimer laser and Moria II microkeratome. No complications were observed during the operation and the early postoperative period. RESULTS, 11 months after LASIK, grade I DLK was diagnosed after the book paper hurt the right corneal epithelium. The DLK responded rapidly to topical cortico- steroid therapy, and healed in 2 weeks without complication. CONCLUSION. Although DLK typically develops in the early postoperative period, it could occur months after surgery. Treatment should begin as soon as DLK is diagnosed.