Open Access 01-12-2006 | Case report
Hyeropic shift after LASIK induced Diffuse lamellar keratitis
Published in: BMC Ophthalmology | Issue 1/2006
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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.