Delhi Journal of Ophthalmology

A Case Report of Unilateral Peripheral Necrotizing Keratitis Following Lasik

Sudhakar Potti, Prasad Patil 
Department of Cornea, Sankara Eye Hospital, Guntur, Andhra Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Sudhakar Potti, MS
Department of  Cornea
Sankara Eye Hospital, Guntur -Vijayawada expressway, Pedakakani, Guntur, Andhra Pradesh, India
E-mail: sudhakar.cmo@sankaraeye.com 


Received: 04-JAN-2021 Accepted: 08-FEB-2021 Published Online: 05-OCT-2021
DOI: https://dx.doi.org/10.7869/djo.689

Abstract
Corneal infiltrates are a relatively uncommon complication of refractive surgery and can cause serious consequences which may result in vision loss. We report a case of unilateral peripheral necrotizing keratitis at the edge of the flap presenting 3 days after femto-LASIK. A 23 year old male underwent femto-LASIK for myopia. On 3rd post-operative day, patient came to clinic with complaints watering in left eye. On Slit lamp examination right eye was normal but in left eye thick opacification noted at the edge of the corneal flap from 2 to 5 o’clock involving stroma, flap and cornea beyond flap edge and AS-OCT showed hyper-reflectivity at the interface. An intensive treatment started with topical steroids, antibiotics and lubricating eye drops. On last visit which was after 2 weeks of surgery, corneal infiltrates were resolved and transparency of cornea was achieved.

Keywords :Sterile Corneal Infiltrates, Diffuse Lamellar Keratitis, Topical Steroids

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