Posters

Post-traumatic diffuse lamellar keratitis (DLK) 4 years after LASIK

Poster Details

First Author: E.Potkonjak BOSNIA AND HERZEGOVINA

Co Author(s):    B. Kozomara   M. Milicevic   N. Gabric              

Abstract Details

Purpose:

To report a case of late onset posttraumatic diffuse lamellar keratitis (DLK) 4 years after laser in situ keratomileusis (LASIK).

Setting:

Eye Clinic Svjetlost Banja Luka, RS, Bosnia and Herzegovina

Methods:

A 25 year old male patient was referred to our clinic for pain, redness, photophobia and blurry vision (20/60) on his left eye after he was involved in a fist fight the night before. He underwent an uneventful bilateral LASIK procedure with a microkeratome cut flap for moderate myopia (RE: -4,00 D and LE: -5,00 D) in our clinic 4 years ago. He had a left periorbital edema and hematoma. On silt lamp examination there was a conjunctival hyperemia and posttraumatic corneal erosion, the flap was in place. His intraocular pressure (IOP) was within normal limits.

Results:

A bandage contact lens, mydriatics, and topical antibiotics were administered in his left eye. At the first follow-up examination his corneal defect was smaller, but the DLK (grade 1) developed and turned into grade 2 after the following day. A steroid subconjunctival injection was added for 4 days until the epithelial defect closure. Furthermore, topical steroid drops and gel were added to the previous therapy for 3 more days with an every-day follow up until DLK resolved. After a week his cornea was clear, there were no traces of DLK and his VA returned to normal (20/20).

Conclusions:

Posttraumatic DLK can be seen even many years after LASIK. Initial diagnosis and prompt treatment are crucial for visual rehabilitation.

Financial Disclosure:

None