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Case Reports
. 2007 Dec;33(12):2135-7.
doi: 10.1016/j.jcrs.2007.06.070.

Diffuse lamellar keratitis after corneal crosslinking in a patient with post-laser in situ keratomileusis corneal ectasia

George D Kymionis  1 , Dimitrios I Bouzoukis, Vasilios F Diakonis, Dimitra M Portaliou, Aristofanis I Pallikaris, Sonia H Yoo
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Case Reports

Diffuse lamellar keratitis after corneal crosslinking in a patient with post-laser in situ keratomileusis corneal ectasia

George D Kymionis et al. J Cataract Refract Surg. 2007 Dec.

Abstract

A 27-year-old man presented with corneal ectasia in his left eye 4 years after myopic laser in situ keratomileusis (LASIK) and was treated with riboflavin-ultraviolet-A (crosslinking). During the first post-treatment days, diffuse lamellar keratitis (DLK) (stage III) developed. The microbiology culture was negative. After intensive treatment with topical corticosteroids, the DLK resolved during the following 2 weeks. Crosslinking for post-LASIK corneal ectasia may induce DLK. Early diagnosis and appropriate treatment with intensive topical corticosteroids is essential to successfully manage this post-crosslinking complication.

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