Hyeropic shift after LASIK induced diffuse lamellar keratitis.
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.
Dada
Tanuj
T
Dr Rajendran Prasad Center for Ophtahlmic Sciences, All India Institute of Medical Science, NewDelhi-110029, India. tanujdada@hotmail.com
Pangtey
Mayank S
MS
Sharma
Namrata
N
Vajpayee
Rasik B
RB
Jhanji
Vishal
V
Sethi
Harinder Singh
HS
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