라식 수술 후 10년 뒤 외상 후 발생한 층상각막염 1예
A Case of Late Onset Interlamellar Keratitis Associated with Trauma
- 대한검안학회
- Annals of optometry and contact lens
- Vol.14 No.1
- 2015.03
- 41 - 44 (4 pages)
Purpose: We report a case of late onset interlamellar keratitis associated with corneal trauma 10 years after laser in situ keratomileusis. Case summary: A 33-year-old man who underwent laser in situ keratomileusis 10 years ago and laser epithelial keratomileusis 5 years ago for enhancement in both eyes presented with a red eye and decreased visual acuity in his left eye due to trauma with a foreign body. There was a horseshoe-shaped epithelial defect and infiltration in the interface below as the same shape of epithelial defect. He was treated with Moxifloxacine 0.5% (Vigamox??, Alcon, Fort worth, USA) for 2 days and the epithelial defect was healed. For remained interlamellar keratitis, he was commenced on Prednisolone Acetate 1% (Pred forte??, Allergan, Irvine, USA) 4 times a day with gradual resolution of the lamellar keratitis over a course of 3 weeks. Prednisolone Acetate 1% was then slowly tapered for 2 months with clearance of corneal opacity. Conclusions: In the case of lamellar keratitis associated with corneal epithelial defect due to trauma, regarding as non-infectious keratitis, early treatment with topical steroid can help eliminate visual loss associated with this condition.
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