Journal Article10.1016/S0886-3350(00)00468-5
Diffuse lamellar keratitis: diagnosis and management.
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TL;DR: Understanding the time course of the disease, along with proper identification, staging, and intervention, can help eliminate visual loss associated with diffuse lamellar keratitis.
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Abstract: With the volume of laser in situ keratomileusis procedures growing exponentially, ophthalmologists and other eye-care providers are becoming aware of an uncommon postoperative condition, diffuse lamellar keratitis, that can affect an otherwise ideal outcome. We present our strategy for diagnosing and managing this syndrome, developed from experience in a high-volume refractive surgical practice. Understanding the time course of the disease, along with proper identification, staging, and intervention, can help eliminate visual loss associated with this condition.
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Citations
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TL;DR: Although initial presentations may overlap significantly, the conditions can be readily distinguished with close follow-up, and most complications can resolve without significant visual sequelae when treated appropriately.
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References
Diffuse lamellar keratitis: a new syndrome in lamellar refractive surgery
Ronald J Smith,Robert K. Maloney +1 more
TL;DR: A distinct syndrome of unknown cause of noninfectious diffuse infiltrates in the lamellar interface that follows laser in situ keratomileusis (LASIK) and related lamellary corneal surgery is described.
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Topical intrastromal steroid during laser in situ keratomileusis to retard interface keratitis.
TL;DR: It is proposed that intraoperative intrastromal steroid application is a safe and effective way to reduce the incidence and severity of NSDIK.
29
Culture-negative ulcerative keratitis after laser in situ keratomileusis.
TL;DR: A 40-year old man, highly myopic in both eyes, had laser in situ keratomileusis (LASIK) in the left eye in November 1996, and uncorrected visual acuity was 20/70, correctable to 20/25 with spectacles.