title: Hyeropic shift after LASIK induced diffuse lamellar keratitis.
abstract: BACKGROUND
  Diffuse lamellar keratitis (DLK) is a relatively new syndrome that is increasingly being reported after LASIK. We have observed that a hyperopic shift may be associated with the occurrence of this diffuse lamellar keratitis.
  
  
  METHODS
  A 26 year old man developed bilateral diffuse lamellar keratitis (DLK) following myopic LASIK. The residual refractive error was +0.5D OD and +0.25D OS at the end of the first week. The sterile infiltrates resolved over a period of 4-6 weeks on topical steroid therapy. A progressive hyperopic shift was noted in the right eye with an error +4.25Dsph/+0.25Dcyl 20 at the final follow up 6 months post surgery.
  
  
  CONCLUSIONS
  Diffuse lamellar keratitis after LASIK may be associated with a significant hyperopic shift.
authors.affiliation: Dr Rajendran Prasad Center for Ophtahlmic Sciences, All India Institute of Medical Science, NewDelhi-110029, India. tanujdada@hotmail.com
authors.forename: Tanuj
authors.initials: T
authors.lastname: Dada
authors.forename: Mayank S
authors.initials: MS
authors.lastname: Pangtey
authors.forename: Namrata
authors.initials: N
authors.lastname: Sharma
authors.forename: Rasik B
authors.initials: RB
authors.lastname: Vajpayee
authors.forename: Vishal
authors.initials: V
authors.lastname: Jhanji
authors.forename: Harinder Singh
authors.initials: HS
authors.lastname: Sethi
mesh_terms: D000328:Adult; D018450:Disease Progression; D006801:Humans; D006956:Hyperopia / Q000209:etiology* / Q000503:physiopathology; D007634:Keratitis / Q000209:etiology*; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D009216:Myopia / Q000601:surgery; D013997:Time Factors