레이저 각막절삭가공성형술 후 안압 상승에 의한 지연성 미만성 층판각막염 1예

• 영문명: High Intraocular Pressure-induced Delayed Diffuse Lamellar Keratitis after Laser In Situ Keratomileusis (LASIK)
• 발행기관: 대한안과학회
• 저자명: 최진 위원량 이진학 김미금,Jin Choi, M.D.,, Won Ryang Wee, M.D., Ph.D.,, Jin Hak Lee, M.D., Ph.D.,, Mee Kum Kim, M.D., Ph.D.,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number10, 1678~1685쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2006.10.31

영문 초록

Purpose: To report a case of post-laser in situ keratomileusis (LASIK) delayed diffuse lamellar keratitis (DLK) associated with elevated intraocular pressure (IOP). Methods: A retrospective review of the medical record for an eye with delayed-onset DLK. Results: In an eye treated with topical steroid eye drops after LASIK, DLK suddenly developed at 6 weeks postoperatively. No corneal epithelial defect was found, but IOP was observed to be high. Keratitis regressed as the IOP was controlled with topical antiglaucoma medications. However, DLK recurred at 3 months postoperatively with increasing IOP again caused by continued topical steroid application. Flap irrigation was performed. No microorganism was found on the interface. After discontinuation of topical steroid, IOP was lowered and DLK disappeared completely. Conclusions: Elevated IOP can be a causative factor of late-onset DLK after LASIK.

키워드

DLK, IOP, LASIK, Topical steroid