“…Our patient additionally presented with DLK underneath the corneal cap; this pattern of development is consistent with previously reported cases of DLK in the setting of marginal keratitis following refractive surgeries other than SMILE. 16 Topical steroids remain the mainstay of therapy for sterile marginal keratitis; 17 however, especially in patients with atypical presentations, physicians should inquire about inciting events to make recommendations and modify potential risk factors. Coexisting blepharitis may be treated with lid hygiene since steroid and antibiotic use may be less effective.…”