Late Disciform Endotheliitis after LASIK
Clinical and imaging features of the patient with late herpetic keratouveitis after LASIK were investigated. A 25-year-old male patient applied with a chief complaint of blurred vision and photophobia in the left eye. He had a history of herpetic keratitits and elsewhere underwent LASIK procedure...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
Galenos Yayinevi
2013-08-01
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Series: | Türk Oftalmoloji Dergisi |
Subjects: | |
Online Access: | http://www.oftalmoloji.org/article_2285/Late-Disciform-Endotheliitis-After-Lasik |
Summary: | Clinical and imaging features of the patient with late herpetic keratouveitis after LASIK were investigated. A 25-year-old male patient
applied with a chief complaint of blurred vision and photophobia in the left eye. He had a history of herpetic keratitits and elsewhere
underwent LASIK procedure in 2005. Oral and topical acyclovir treatments were started a week ago when his complaints started. His
corrected distance visual acuity was 0.2 and intraocular pressure was 14 mmHg on the left eye. Slit-lamp revealed deep central disciform
edema, keratic precipitates, and 2 positive cells in the anterior chamber. Although the patient had myopic LASIK ablation, the central
corneal thickness was 652 microns. Scheimpflug imaging was drawing attention to the thickening of the posterior cornea and the keratic
precipitates. Sagital and anterior elevation maps were not affected, however, posterior elevation map showed marked central flattening.
Asphericity value Q was within normal limits anteriorly (Q=-0.14) and it was in oblate appearance posteriorly (Q=+5.24). In addition
to the antiviral medications, a topical dexamethasone treatment was started. The vision improved to 0.6, and the edema was markedly
reduced after 4 days of treatment. Scheimpflug imaging parameters were significantly improved. (Turk J Ophthalmol 2013; 43: 282-5) |
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ISSN: | 1300-0659 2147-2661 |