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Deze abstract is toegekend aan sessie BSCRS Free papers: Refractive surgery
TitelRapid spontaneous resolution of stage 4 Deep Lamellar Keratitis (DLK) after uncomplicated LASIK
Abstract Nr.331
DoelTo report the rapid apparition of stage 4 diffuse lamellar keratitis (DLK) and its spontaneous resolution within 3 months. Stage 4 DLK is the most severe form of the disease with an incidence of approximately 1 in 5000. It result habitually in a variable degree of visual acuity and quality loss.
MethodesA 24-year-old man underwent bilateral uncomplicated laser in situ keratomileusis (LASIK) for myopia. Postoperative course in the right eye was uneventful; however, in the left eye, stage 2 diffuse lamellar keratitis was present at day 1 and developed till grade 4 at day 2 under oral and topical corticotherapy.
ResultatenDLK was associated with stromal melting, deep flap folds, hyperopic shift, irregular astigmatism, and 4 lines loss of visual acuity. The rapid evolution from grade 2 till grade 4 could not allow us to lift the flap and irrigate the interface. The only therapeutic solution was conservative. The condition improved spontaneously and 3 months later, slit-lamp microscopy showed resolution of the folds and haze with subsequent improvement of visual acuity. There was a progressive improvement on refractive maps concerning corneal thickness, curvature, and regularity.
ConclusieThis spontaneous positive evolution indicates that observation might be a therapeutic option for stage 4 DLK.
Auteur 1
NaamVANDORSELAER
InitialenT
InstituutDpt of Ophthalmology, CHU Saint-Pierre and Brugmann
StadBrussels
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