title: Reactivation of presumed adenoviral keratitis after laser in situ keratomileusis.
abstract: We report a patient with reactivation of presumed adenoviral keratoconjunctivitis after laser in situ keratomileusis (LASIK) to correct high myopia. The preoperative refraction was -13.00 diopters (D) in the right eye and -14.00 D in the left eye, and the best corrected visual acuity was 20/20 in both eyes. On the first postoperative day, mild conjunctival hyperemia and multiple subepithelial infiltrations localized in the flap zone consistent with adenoviral keratoconjunctivitis were seen. After prompt treatment, the lesions resolved. As a consequence, LASIK successfully corrected the high myopia. Adenoviral keratoconjunctivitis can be reactivated after LASIK, unlike after photorefractive keratectomy, despite the absence of symptomatic and clinical findings before the procedure.
authors.affiliation: Gazi University Medical Faculty, Department of Ophthalmology, Ankara, Turkey
authors.forename: Nilgün
authors.initials: N
authors.lastname: Safak
authors.forename: Kamil
authors.initials: K
authors.lastname: Bilgihan
authors.forename: Gökhan
authors.initials: G
authors.lastname: Gürelik
authors.forename: Sengül
authors.initials: S
authors.lastname: Ozdek
authors.forename: Berati
authors.initials: B
authors.lastname: Hasanreisoğlu
mesh_terms: D000258:Adenovirus Infections, Human / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D000260:Adenoviruses, Human / Q000254:growth & development*; D000287:Administration, Topical; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003907:Dexamethasone / Q000627:therapeutic use; D015828:Eye Infections, Viral / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D005938:Glucocorticoids; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D007637:Keratoconjunctivitis / Q000821:virology; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D014775:Virus Activation / Q000502:physiology*; D014792:Visual Acuity
chemical_list: D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D003907:Dexamethasone