Recurrence of keratitis after excimer laser keratectomy.
We report 3 patients who experienced a recurrence of nonherpetic keratitis after excimer laser photorefractive surgery. Two patients had a history of culture-positive adenoviral keratoconjunctivitis, and 1 had a clinical diagnosis of Thygeson's superficial punctate keratitis (SPK) prior to excimer laser surgery. Patients should be informed that excimer laser surgery may contribute to a recurrence of keratitis and Thygeson's SPK. Recognition and appropriate treatment can result in resolution and maintenance of a good refractive outcome.
Jabbur
Nada S
NS
Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland 21903, USA. nsjabbur@jhmi.edu
O'Brien
Terrence P
TP
D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007634:Keratitis / Q000473:pathology / Q000601:surgery* / Q000821:virology; D016849:Keratitis, Herpetic / Q000175:diagnosis / Q000188:drug therapy; D054018:Lasers, Excimer; D008297:Male; D008875:Middle Aged; D018903:Photorefractive Keratectomy / Q000009:adverse effects*; D012008:Recurrence; D016896:Treatment Outcome; D014271:Trifluridine / Q000627:therapeutic use
D000998:Antiviral Agents; D014271:Trifluridine