Diffuse lamellar keratitis associated with gonococcal keratoconjunctivitis 3 years after laser in situ keratomileusis

Symes, Richard; Catt, Caroline; Males, John

doi:10.1016/j.jcrs.2006.09.029

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…The peripheral corneal melt resolved within two weeks. diffuse lamellar keratitis three years after laser in situ keratomileusis has already been described [7].…”

Section: Descriptionmentioning

confidence: 95%

Corticosteroid in the Treatment of Neisseria gonorrhoeae Keratitis

McElnea¹

2015

Int J Ophthalmol Clin Res

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Ocular infection with Neisseria gonorrhoeae is relatively rare. We may be less suspicious of it as a result. Indeed, all four cases of corneal perforation secondary to gonococcal infection described in one case series were originally misdiagnosed as epidemic keratoconjunctivitis [1].Cases occur in sexually active individuals. Infection results from contact with infected urine and/or genital secretions. Such contact may be direct or by indirect 'autoinoculation' wherein infective genital secretions are transferred from their source to the eye's surface by hand-eye contact.Genitourinary symptoms of gonococcal infection, if they occur (up to 80% of males and 20% females affected in this regard are asymptomatic) may precede ocular symptoms by one to several weeks. Patients are howev er unlikely to make a connection between their sexual behaviour, genital and ocular symptoms. Consequently, retrieval of the pertinent patient sexual and genitourinary system history may be invaluable in suggesting a diagnosis of gonococcal keratoconjunctivitis.Neisseria gonorrhoeae causes a conjunctivitis which typically presents hyper-acutely with usually bilateral but occasionally, as

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“…The peripheral corneal melt resolved within two weeks. diffuse lamellar keratitis three years after laser in situ keratomileusis has already been described [7].…”

Section: Descriptionmentioning

confidence: 95%

Corticosteroid in the Treatment of Neisseria gonorrhoeae Keratitis

McElnea¹

2015

Int J Ophthalmol Clin Res

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“…Its treatment is based on steroidal anti-inflammatories, which are also contraindicated if there is infection. The rest of the eyeball is not usually involved, as it does not show ciliary injection, cellularity, and flare in the anterior chamber, which are usually present in infectious processes [29,30].…”

Section: Differential Diagnosismentioning

confidence: 99%

Infectious Keratitis after Surgery

Haber Olguin,

Raúl Vera Duarte,

Antonio García Padilla

2024

Keratitis - Current Perspectives

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Although infectious keratitis after refractive surgery is rare, it is of great importance due to its great devastating power. The most important etiology of infectious keratitis after refractive surgery is: Staphylococcus epidermidis. The risk factors associated with the development of infectious keratitis are divided into: pre-surgical, intra-surgical and post-surgical. The time of onset of symptoms after refractive surgery is one of the most important antecedents associated with the causative microorganism. Less than 7 days is considered “early onset”. After 7 days of “late onset.” The initiation of empirical treatment is recommended in the case of early onset of symptoms with 4th generation fluoroquinolone alternated with fortified cefazolin. In the case of late onset (more than 7 days after surgery), start with 4th generation fluoroquinolone alternating with Amikacin as well as oral doxycycline. At the end of the surgery, it is recommended to apply a drop of moxifloxacin. Regarding post-surgical measures, the time of contact lens use should be limited, avoid contaminated environments and administer antibiotics for a period of 7–10 days, or until the epithelial defect has been completely resolved.

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“…Although it has been shown that patients with underlying autoimmune disease can safely undergo LASIK [43], one should also be aware that inflammatory diseases and associated ocular inflammation can trigger an episode of DLK [44 , [45][46][47]. Although bacterial keratitis can precede DLK [48], DLK has also been reported associated with viral keratoconjunctivitis [49], gonococcal keratoconjunctivitis [50] and orbital cellulitis [51]. Additional corneal surgery such as LASIK enhancement, corneal cross-linking [52] or conductive keratoplasty [53] can trigger an episode of DLK.…”

Section: Epidemiology Of Diffuse Lamellar Keratitismentioning

confidence: 99%