Abstract | PURPOSE: METHODS: This is a case report and review of relevant literature. RESULTS: A 25-year-old man with a history of LASIK presented 4 weeks after a sodium hydroxide splash to his left eye with visual acuity of 20/60 and a nonhealing epithelial defect adjacent to sectoral inferior limbal ischemia in the setting of trichiasis from upper eyelid cicatricial entropion. After topical corticosteroids were discontinued following the repair of the entropion, the patient returned 3 days later with worsening vision and severe diffuse lamellar keratitis with the melting of the LASIK flap. After promptly lifting the flap and debriding the interface, inflammation was managed with oral, instead of topical, corticosteroids. Over several weeks, the epithelium healed, and inflammation and interface edema resolved. At 10 years of follow-up, the patient had developed a localized pseudopterygium with mild corneal neovascularization but maintained 20/20 uncorrected visual acuity. CONCLUSIONS:
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Authors | Emily M Witsberger, Sanjay V Patel |
Journal | Cornea
(Cornea)
Vol. 40
Issue 7
Pg. 907-909
(Jul 01 2021)
ISSN: 1536-4798 [Electronic] United States |
PMID | 33273190
(Publication Type: Case Reports, Journal Article, Review)
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Copyright | Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. |
Chemical References |
- Caustics
- Glucocorticoids
- Sodium Hydroxide
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Topics |
- Adult
- Burns, Chemical
(diagnosis, etiology, therapy)
- Caustics
(toxicity)
- Corneal Diseases
(chemically induced, diagnosis, therapy)
- Debridement
- Eye Burns
(chemically induced, diagnosis, therapy)
- Glucocorticoids
(therapeutic use)
- Humans
- Keratomileusis, Laser In Situ
- Male
- Sodium Hydroxide
(toxicity)
- Surgical Flaps
- Visual Acuity
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