Abstract
Traumatic flap dislocation might occur anytime after laser in situ keratomileusis (LASIK), but it is rarely concomitantly complicated with epithelial ingrowth, infectious keratitis, and diffuse lamellar keratitis altogether. Here we report a case of traumatic LASIK flap inversion with epithelial ingrowth, Propionibacterium acnes infection, and diffuse lamellar keratitis. A 42-year-old man receiving bilateral LASIK surgery 10 years ago complained of right eye pain for 6 days after twig injury. Temporal flap inversion with epithelial ingrowth and dense infiltration at the interface were noted. Traumatic LASIK flap inversion with epithelial ingrowth, Propionibacterium acnes infection and diffuse lamellar keratitis. Removal of corneal epithelium around the flap inversion site, flap lifting, scraping of epithelial ingrowth, removal of the dense infiltrate, alcohol soaking, interface irrigation with antibiotics, and flap reposition were performed. Diffuse lamellar keratitis was noted postoperatively. Culture of the infiltrate revealed P acnes. The infiltrate subsided and the cornea cleared up under topical antibiotics and steroid. The visual acuity returned to 20/20. No recurrent epithelial ingrowth or infiltrate was noted during the...Continue Reading
References
Jan 1, 1997·Clinical Microbiology Reviews·G FunkeK A Bernard
Feb 25, 1999·American Journal of Ophthalmology·R T Lin, R K Maloney
Nov 30, 2000·Ophthalmology·S A MelkiD T Azar
May 30, 2001·Journal of Cataract and Refractive Surgery·G S SchwartzS S Lane
Aug 8, 2001·Journal of Cataract and Refractive Surgery·N G IskanderH V Gimbel
Nov 13, 2001·American Journal of Ophthalmology·M S SridharE J Cohen
Dec 4, 2001·American Journal of Ophthalmology·N S ChandraG N Holland
Dec 6, 2001·Ophthalmology·A SolomonW W Culbertson
Jul 20, 2002·Cornea·Anthony J AldaveRichard L Abbott
Dec 28, 2002·Cornea·Joseph Anthony J TumboconDavid S Rootman
Feb 13, 2003·Ophthalmology·Denise FreitasRubens Belfort
Feb 5, 2008·Cornea·Oudy SemounLaurent Laroche
Dec 19, 2008·Cornea·Boris OvodenkoRichard S Koplin
Dec 17, 2009·Ophthalmology·Fernando LlovetJulio Baviera
Nov 26, 2010·Klinische Monatsblätter für Augenheilkunde·S J LinkeT Katz
Mar 26, 2011·Journal of Cataract and Refractive Surgery·Takefumi YamaguchiJun Shimazaki
Nov 25, 2011·Journal of Cataract and Refractive Surgery·Derick G HoltMark D Mifflin
Aug 8, 2012·Journal of Refractive Surgery·J Bradley Randleman, Rupa D Shah
Jan 4, 2013·The New England Journal of Medicine·Nelson A Rodríguez, Francisco J Ascaso
May 11, 2016·BMJ Open·Koji KitazawaShigeru Kinoshita
May 21, 2016·Eye & Contact Lens·Sung A LimChoun-Ki Joo
May 2, 2017·International Medical Case Reports Journal·Tsung-Han TsaiChien-Jen Lin
Apr 17, 2018·BMJ Open Ophthalmology·Darren Shu Jeng TingJean-Pierre Danjoux