Bilateral peripheral infiltrative keratitis after LASIK.
OBJECTIVE
To present a case of peripheral infiltrative keratitis mimicking infectious keratitis on the flap margin and limbus, which appeared on the first postoperative day after the laser in situ keratomileusis (LASIK).


METHODS
A 36-year-old woman who underwent uneventful bilateral simultaneous LASIK developed multiple round infiltrate along the flap margin reaching to limbus from the 11 o'clock to 6 o'clock area in both eyes.


RESULTS
The flap was lifted and irrigation was performed with antibiotics. but infiltration seemed to appear again. The infiltrate was more concentrated at the periphery and was extended to the limbus. Direct smear and culture for bacteria and fungus were negative. Topical prednisolone acetate 1% eye drops was added, infiltrative condition was resolved.


CONCLUSIONS
LASIK induced peripheral infiltrative keratitis, in which infectious origin was ruled out, is reported.
Moon
Sung-Woon
SW
Department of Ophthalmology, Kyung Hee University College of Medicine, Seoul, Korea.
Kim
Yong-Hwan
YH
Lee
Seung-Chan
SC
Lee
Mi-Ae
MA
Jin
Kyung-Hyun
KH
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001424:Bacterial Infections; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D009181:Mycoses; D011239:Prednisolone / Q000031:analogs & derivatives / Q000627:therapeutic use; D013524:Surgical Flaps / Q000009:adverse effects