A case of late-onset diffuse lamellar keratitis 12 years after laser in situ keratomileusis

Kamiya, Kazutaka; Ikeda, Tetsuya; Aizawa, Daisuke; Shimizu, Kimiya

doi:10.1007/s10384-009-0774-4

Cited by 9 publications

(4 citation statements)

References 8 publications

(10 reference statements)

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“…The present case study is the second case study to report late-onset DLK from LASIK surgery, appearing 10 years after LASIK treatment. The findings of the present case study and the previous study (8) indicate that DLK is able to manifest after an extended period of time following LASIK surgery.…”

Section: Discussionsupporting

confidence: 78%

“…DLK is characterized by diffused white, granular infiltrate around the edge of the corneal flap (7) and typically occurs within a few days after LASIK surgery. However, a previous report described a case where DLK occurred 12 years after LASIK surgery (8), although this is considered to be extremely rare. The present case study is the second case study to report late-onset DLK from LASIK surgery, appearing 10 years after LASIK treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Although the precise mechanism of DLK has not been fully elucidated, several possible etiologies, including peripheral immune infiltrates, atopic disease, ocular inflammatory disease, epithelial defects, bacterial endotoxins, chemicals or debris, surgical gloves and meibomian gland secretions have been reported (8,9). However, DLK resulting from permanent eyeliner tattooing in a post-LASIK patient has not been reported until now.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral diffuse lamellar keratitis triggered by permanent eyeliner tattoo treatment: A case report

Liu

Zhou

et al. 2017

Experimental and Therapeutic Medicine

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Diffuse lamellar keratitis (DLK) is a sterile inflammation of the cornea, which may occur after laser-assisted in situ keratomileusis (LASIK) surgery. Little is known about the association of DLK with permanent eyeliner tattoo. The present case report describes the case of a 37-year-old Chinese woman who developed severe foreign body sensation in both eyes 1 week after receiving bilateral permanent eyeliner tattoo treatment. The patient had received bilateral LASIK surgery 10 years previously. Slit-lamp biomicroscopy revealed diffused granular infiltrates precipitated around the edge of the corneal flaps in both eyes. After topical treatment, DLK persisted. Therefore, the patient underwent surgery to remove the corneal epithelium around the DLK lesion. There was no recurrence of the disease during the 3-month observation period. To our knowledge, this is the first case report describing a case of late-onset of DLK that was triggered by permanent eyeliner tattoo. Doctors should be aware of the diagnosis and treatment of this complication associated with the application of permanent eyeliner tattoo as the popularity of this cosmetic procedure increases.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Bilateral diffuse lamellar keratitis triggered by permanent eyeliner tattoo treatment: A case report

Liu

Zhou

et al. 2017

Experimental and Therapeutic Medicine

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“…Although numerous etiologies contribute to the occurrence of DLK in the early postoperative period, cases have also been reported in the late postoperative period. 19,20 Case 4 was a late-onset DLK, occurring 5 months after the femtosecond lenticule extraction procedure. Although the inciting agent was unclear, we assumed that the patient's older age, with more meibomian gland secretions, or an allergic reaction might be the contributor.…”

Section: Discussionmentioning

confidence: 99%

Diffuse lamellar keratitis after femtosecond laser refractive lenticule extraction

Zhao

Yao

et al. 2013

JCRS Online Case Reports

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We report 6 eyes (spherical refraction from À4.0 to À10.0 diopters) in 4 cases of diffuse lamellar keratitis (DLK) after femtosecond laser refractive lenticule extraction. A refractive lenticule was created using a femtosecond laser and then extracted through a 3.0 mm incision (5 eyes without a flap) and an approximately 20.0 mm incision (1 eye, flap thickness 100 mm). On the first postoperative day, Case 1 developed bilateral DLK (stage 1), Case 2 developed DLK (stage 2) with a small tear at the incision edge, Case 3 developed bilateral DLK (stage 2 in the right eye, stage 1 in the left eye). Case 4 developed late-onset DLK (stage 2) after 5 months. All cases were treated adequately with topical steroids and resolved completely without progression; no visual acuity loss occurred. The DLK may have occurred after refractive lenticule extraction. It is important to diagnose and treat timely and appropriately to avoid vision loss.

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Late-onset diffuse lamellar keratitis 15 years after laser in situ keratomileusis

Morales

Camós-Carreras

Spencer

et al. 2017

Canadian Journal of Ophthalmology

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epithelialization; however, this was an incidental finding, and he did not have any systemic signs or symptoms of any rheumatologic conditions or history of HLA-B27related uveitis. Cryopreserved AMT has been described for the following therapeutic indications: persistent epithelial defect and deep corneal ulcer. 7,8 Other indications include Stevens-Johnson syndrome, recurrent pterygium, recurrent Mooren's ulcer, viral keratitis, and sterile corneal melt. 9,10 To date, there has not been a reported case for AMT after corneal melt secondary to collagen crosslinking and TCAT. The use of AMT avoided an emergent corneal transplant surgery for the patient. CONCLUSIONS Corneal melt is a rare and significant complication that can occur after C3R-TCAT. Careful patient selection and counselling are important. The underlying etiology in this case is likely multifactorial. Recognizing and optimizing potential risk factors such as lagophthalmos and blepharitis before surgery will potentially prevent this complication.

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A case of late-onset diffuse lamellar keratitis 12 years after laser in situ keratomileusis

Cited by 9 publications

References 8 publications

Bilateral diffuse lamellar keratitis triggered by permanent eyeliner tattoo treatment: A case report

Bilateral diffuse lamellar keratitis triggered by permanent eyeliner tattoo treatment: A case report

Diffuse lamellar keratitis after femtosecond laser refractive lenticule extraction

Late-onset diffuse lamellar keratitis 15 years after laser in situ keratomileusis

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