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Case Reports
. 2004 Apr;23(3):302-5.
doi: 10.1097/00003226-200404000-00015.

Delayed reactivation of presumed adenoviral subepithelial infiltrates after laser in situ keratomileusis

J Bradley Randleman  1 , Susanne M Hewitt, R Doyle Stulting
Affiliations
Case Reports

Delayed reactivation of presumed adenoviral subepithelial infiltrates after laser in situ keratomileusis

J Bradley Randleman et al. Cornea. 2004 Apr.

Abstract

Objective: To report the reactivation of presumed adenoviral keratitis after laser in situ keratomileusis (LASIK).

Methods: Case report and literature review.

Results: The patient underwent uneventful LASIK more than 5 years after an episode of adenoviral keratitis that left subepithelial corneal scarring. Three months after LASIK, new subepithelial infiltrates appeared in the right eye. These lesions resolved without sequelae during treatment with topical steroids. The patient's uncorrected and best-corrected visual acuity returned to her postoperative baseline.

Conclusion: LASIK may cause delayed exacerbation of subepithelial infiltrates caused by adenoviral keratitis. However, good visual outcomes can be achieved with recognition of this reactivation and treatment with topical corticosteroids.

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