Document Detail


LASIK interface keratitis: epidemiology, diagnosis and care.
MedLine Citation:
PMID:  21537188     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: Diffuse lamellar keratitis (DLK) is one of the more common interface complications occurs after laser in-situ keratomileusis (LASIK). The diagnosis can sometimes be challenging, as the differential diagnosis includes infectious keratitis, which requires a completely different treatment compared to DLK. This review assesses our current knowledge of the epidemiology, diagnosis and treatment of DLK. RECENT FINDINGS: DLK occurs during the immediate postoperative period, but there are also late-onset cases. Early cases can occur in outbreaks, related to exogenous factors. Late-onset cases are most often related to inciting factors. Over time, case reports and series have reported DLK onset occurring further after surgery. It is probable that additional inciting factors will also be reported over time. Visual outcomes following DLK tend to be good when the condition is diagnosed properly and treated with intensive topical or systemic steroids, possibly combined with interface irrigation. SUMMARY: DLK is a well recognized and well described complication occurring after LASIK. Associated inciting and risk factors and treatment algorithms have been described, but additional questions remain. Our knowledge and our patients will benefit from further research and development of evidence-based treatments.
Authors:
David C Gritz
Related Documents :
24535798 - Typical trigeminal neuralgia by an atypical compression: case report and review of the ...
19692868 - The immunohistochemical demonstration of helicobacter pylori in rectal ectopia.
6609868 - Bleeding cecal typhoid ulcer. value of emergency angiography for selective surgical hem...
9247488 - Gastric adenocarcinoma and dysplasia in fundic gland polyps of a patient with attenuate...
11929028 - Diagnostic modalities for gastroesophageal reflux.
23544938 - Central pathology review for phase iii clinical trials: the enabling effect of virtual ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-2
Journal Detail:
Title:  Current opinion in ophthalmology     Volume:  -     ISSN:  1531-7021     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011108     Medline TA:  Curr Opin Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Departments of Ophthalmology and Epidemiology/Population Health, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Refractive surgery: a treatment for and a cause of strabismus.
Next Document:  Cell signaling molecules as drug targets in lung cancer: an overview.