Abstract
A refractive surgeon should be able to diagnose and manage uncommon cases of late-onset diffuse lamellar keratitis (DLK) in patients with epithelial defects after microtrauma. DLK is characterized by an inflammatory cellular response at the interface after lamellar corneal surgery, particularly LASIK [1]. It usually occurs during the first week following surgery. Various factors act as etiologic agents including blade debris, bacterial endotoxins on instruments, meibomian gland secretions, and epithelial defects during surgery [2–6]. Late-onset DLK is also associated with anterior segment inflammatory conditions such as allergic and adenoviral conjunctivitis or iritis [7].
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Alió, J.L., Abbouda, A. (2015). Other Complications: Late-Onset Diffuse Lamellar Keratitis After LASIK in a Patient with Epithelial Defect After Microtrauma. In: Alió, J., Azar, D., Abbouda, A., Aswad, A. (eds) Difficult and Complicated Cases in Refractive Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55238-0_58
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DOI: https://doi.org/10.1007/978-3-642-55238-0_58
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