Surgically induced corneal necrotizing keratitis following LASIK in a patient with inflammatory bowel disease

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• 作者：Glenn I. Carp ; Thibault Verhamme ; Marine Gobbe ; William H. Ayliffe ; Dan Z. Reinstein
• 刊名：Journal of Cataract and Refractive Surgery
• 出版年：2010
• 出版时间：October 2010
• 年：2010
• 卷：36
• 期：10
• 页码：1786-1789
• 全文大小：326 K

文摘

We describe a case of necrotizing keratitis that developed after laser in situ keratomileusis (LASIK) in a 50-year-old woman with inflammatory bowel disease. The patient had not disclosed her history of a total colectomy for recurrent ulcerative colitis and developed bilateral stromal inflammation and corneal melting along the flap edge with ulceration within 3 days of uneventful bilateral LASIK for myopia. She was aggressively managed with topical and systemic corticosteroid therapy. Flap infiltrates gradually resolved, with no relapse during the 12-month follow-up. This case highlights the importance of taking a detailed history, specifically addressing autoimmune diseases, before corneal refractive surgery.

Financial Disclosure

No author has a financial or proprietary interest in any material or method mentioned. Additional disclosure is found in the footnotes.