Late-onset diffuse lamellar keratitis 4 years after femtosecond laser-assisted small incision lenticule extraction: a case report.

Abstract

BACKGROUND:

To report a first case of late-onset diffuse lamellar keratitis (DLK) occurring 4 years after femtosecond laser-assisted small incision lenticule extraction (SMILE).

CASE PRESENTATION:

A 41-year-old man who underwent SMILE 4 years prior developed DLK in the right eye 1 day after he was struck in the eye by a finger while playing with his son. Slim-lamp microscopy and anterior segment optical coherence tomography (AS-OCT) were used to evaluate the cornea of the right eye. Slit-lamp examination of the right eye revealed epithelial exfoliation and stage 3 DLK with diffuse, dot-like, granular haze in the interface between the cap and stromal bed. After intensive treatment with topical corticosteroids, the DLK resolved and corneal transparency was achieved.

CONCLUSIONS:

This case indicates that DLK can occur several years after SMILE. Ocular trauma may be a risk factor for the development of DLK. The prognosis is usually favorable with early diagnosis and treatment with topical corticosteroids.

• Authors: Meiyan Li, Dong Yang, Yingjun Chen, Meng Li, Tian Han, Xingtao Zhou, Katherine Ni
• Journal: BMC ophthalmology (BMC Ophthalmol) Vol. 17 Issue 1 Pg. 244 (Dec 08 2017) ISSN: 1471-2415 [Electronic] England
• PMID: 29216872 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Corneal Stroma (surgery)
• Eye Injuries (complications)
• Humans
• Keratitis (etiology)
• Keratomileusis, Laser In Situ
• Male
• Postoperative Complications
• Time Factors