[Late onset diffuse lamellar keratitis].
BACKGROUND
Diffuse lamellar keratitis (DLK) is marked by the presence of diffuse or multifocal infiltrates confined to the laser in situ keratomileusis(LASIK) interface. These infiltrates are culture-negative, and the etiology is thought to be noninfectious. Most cases of DLK occur within the first week or two following surgery.


METHODS
We describe two cases of diffuse lamellar keratitis that occurred 3 months after LASIK. These patients were treated with intensive topical corticosteroids.


RESULTS
We treated the patients with topical corticosteroids, with rapid improvement in patient symptoms, visual acuity, and slit-lamp biomicroscopy.


CONCLUSIONS
DLK may occur three months after LASIK.
Amano
Rie
R
Department of Ophthalmology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara 228-8555, Japan.
Ohno
Koji
K
Shimizu
Kimiya
K
Suzuki
Masanobu
M
Aizawa
Daisuke
D
Komatsu
Mari
M
D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D007634:Keratitis / Q000188:drug therapy* / Q000209:etiology; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects; D008297:Male; D008875:Middle Aged
D005938:Glucocorticoids