Sterile keratitis after corneal collagen crosslinking in a child.
Corneal collagen crosslinking (CXL) is a non invasive technique used in halting the progression of keratoconus. Complications with this modality are rare. We report a case of an 8-year-old child who developed sterile infiltrates in the immediate postoperative period after uneventful corneal collagen crosslinking for keratoconus. The infiltrates resolved with topical steroid therapy. There was also present coexisting vernal keratoconjunctivitis (VKC) which was controlled with topical 2% cyclosporine A eye drops prior to crosslinking treatment. This case highlights importance of controlling VKC prior to CXL in keratoconus as it adds to the risk of developing post operative sterile keratitis.
Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi 110002, India.
Ritu
R
Arora
Parul
P
Jain
Deepa
D
Gupta
J L
JL
Goyal
D002648:Child; D003094:Collagen / Q000187:drug effects / Q000528:radiation effects; D016572:Cyclosporine / Q000627:therapeutic use*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007637:Keratoconjunctivitis / Q000188:drug therapy* / Q000209:etiology*; D007640:Keratoconus / Q000150:complications / Q000188:drug therapy*; D008297:Male; D010778:Photochemotherapy / Q000009:adverse effects* / Q000379:methods; D012256:Riboflavin / Q000009:adverse effects* / Q000627:therapeutic use; D016896:Treatment Outcome; D014466:Ultraviolet Rays
D007166:Immunosuppressive Agents; D016572:Cyclosporine; D003094:Collagen; D012256:Riboflavin