라식 수술 후 10년 뒤 외상 후 발생한 층상각막염 1예

• 영문명: A Case of Late Onset Interlamellar Keratitis Associated with Trauma
• 발행기관: 대한검안학회
• 저자명: 이지혜(Jee Hye Lee) 정소향(So Hyang Chung)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.14 No.1, 41~44쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.03.30

영문 초록

Purpose: We report a case of late onset interlamellar keratitis associated with corneal trauma 10 years after laser in situ keratomileusis. Case summary: A 33-year-old man who underwent laser in situ keratomileusis 10 years ago and laser epithelial keratomileusis 5 years ago for enhancement in both eyes presented with a red eye and decreased visual acuity in his left eye due to trauma with a foreign body. There was a horseshoe-shaped epithelial defect and infiltration in the interface below as the same shape of epithelial defect. He was treated with Moxifloxacine 0.5% (Vigamox？？, Alcon, Fort worth, USA) for 2 days and the epithelial defect was healed. For remained interlamellar keratitis, he was commenced on Prednisolone Acetate 1% (Pred forte？？, Allergan, Irvine, USA) 4 times a day with gradual resolution of the lamellar keratitis over a course of 3 weeks. Prednisolone Acetate 1% was then slowly tapered for 2 months with clearance of corneal opacity. Conclusions: In the case of lamellar keratitis associated with corneal epithelial defect due to trauma, regarding as non-infectious keratitis, early treatment with topical steroid can help eliminate visual loss associated with this condition.

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키워드

Lamellar keratitis Steroid Trauma