BMC Ophthalmology (Apr 2006)

Hyeropic shift after LASIK induced Diffuse lamellar keratitis

  • Jhanji Vishal,
  • Vajpayee Rasik B,
  • Sharma Namrata,
  • Pangtey Mayank S,
  • Dada Tanuj,
  • Sethi Harinder

DOI
https://doi.org/10.1186/1471-2415-6-19
Journal volume & issue
Vol. 6, no. 1
p. 19

Abstract

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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. Case presentation 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. Conclusion Diffuse lamellar keratitis after LASIK may be associated with a significant hyperopic shift.