Diffuse lamellar keratitis in the femtosecond-assisted LASIK flap tunnel

George D Kymionis,1,2 Konstantinos I Tsoulnaras,1 Nikolaos G Tsakalis,1 Michael A Grentzelos1 1Vardinoyiannion Eye Institute of Crete, Faculty of Medicine, University of Crete, Heraklion, Crete, Greece; 2Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA...

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Autores principales:	Kymionis GD, Tsoulnaras KI, Tsakalis NG, Grentzelos MA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/fb40d98933f94172aa1fea26ab480314
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spelling	oai:doaj.org-article:fb40d98933f94172aa1fea26ab4803142021-12-02T08:40:36ZDiffuse lamellar keratitis in the femtosecond-assisted LASIK flap tunnel1177-5483https://doaj.org/article/fb40d98933f94172aa1fea26ab4803142014-06-01T00:00:00Zhttp://www.dovepress.com/diffuse-lamellar-keratitis-in-the-femtosecond-assisted-lasik-flap-tunn-a17085https://doaj.org/toc/1177-5483 George D Kymionis,1,2 Konstantinos I Tsoulnaras,1 Nikolaos G Tsakalis,1 Michael A Grentzelos1 1Vardinoyiannion Eye Institute of Crete, Faculty of Medicine, University of Crete, Heraklion, Crete, Greece; 2Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA Abstract: Here we report a case of a 29-year-old myopic female who underwent femtosecond laser-assisted in situ keratomileusis (LASIK) and, on the first postoperative day slit-lamp examination revealed a dense, white, granular reaction with the presence of some blood droplets (stage I diffuse lamellar keratitis [DLK]) in her left eye, specifically localized into the femtosecond LASIK flap tunnel (not extended to the flap interface). The patient received intensive treatment with topical corticosteroids and 5 days later the granular reaction had completely resolved. A new site of DLK, ie, the flap tunnel, in femtosecond-assisted LASIK is presented. DLK into the flap tunnel could be managed with corticosteroids if detected early, without affecting the flap interface. Keywords: diffuse lamellar keratitis, laser-assisted in situ keratomileusis, femtosecond, corneal vascularization, flap, tunnelKymionis GDTsoulnaras KITsakalis NGGrentzelos MADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1065-1067 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kymionis GD Tsoulnaras KI Tsakalis NG Grentzelos MA Diffuse lamellar keratitis in the femtosecond-assisted LASIK flap tunnel
description	George D Kymionis,1,2 Konstantinos I Tsoulnaras,1 Nikolaos G Tsakalis,1 Michael A Grentzelos1 1Vardinoyiannion Eye Institute of Crete, Faculty of Medicine, University of Crete, Heraklion, Crete, Greece; 2Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA Abstract: Here we report a case of a 29-year-old myopic female who underwent femtosecond laser-assisted in situ keratomileusis (LASIK) and, on the first postoperative day slit-lamp examination revealed a dense, white, granular reaction with the presence of some blood droplets (stage I diffuse lamellar keratitis [DLK]) in her left eye, specifically localized into the femtosecond LASIK flap tunnel (not extended to the flap interface). The patient received intensive treatment with topical corticosteroids and 5 days later the granular reaction had completely resolved. A new site of DLK, ie, the flap tunnel, in femtosecond-assisted LASIK is presented. DLK into the flap tunnel could be managed with corticosteroids if detected early, without affecting the flap interface. Keywords: diffuse lamellar keratitis, laser-assisted in situ keratomileusis, femtosecond, corneal vascularization, flap, tunnel
format	article
author	Kymionis GD Tsoulnaras KI Tsakalis NG Grentzelos MA
author_facet	Kymionis GD Tsoulnaras KI Tsakalis NG Grentzelos MA
author_sort	Kymionis GD
title	Diffuse lamellar keratitis in the femtosecond-assisted LASIK flap tunnel
title_short	Diffuse lamellar keratitis in the femtosecond-assisted LASIK flap tunnel
title_full	Diffuse lamellar keratitis in the femtosecond-assisted LASIK flap tunnel
title_fullStr	Diffuse lamellar keratitis in the femtosecond-assisted LASIK flap tunnel
title_full_unstemmed	Diffuse lamellar keratitis in the femtosecond-assisted LASIK flap tunnel
title_sort	diffuse lamellar keratitis in the femtosecond-assisted lasik flap tunnel
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/fb40d98933f94172aa1fea26ab480314
work_keys_str_mv	AT kymionisgd diffuselamellarkeratitisinthefemtosecondassistedlasikflaptunnel AT tsoulnaraski diffuselamellarkeratitisinthefemtosecondassistedlasikflaptunnel AT tsakalisng diffuselamellarkeratitisinthefemtosecondassistedlasikflaptunnel AT grentzelosma diffuselamellarkeratitisinthefemtosecondassistedlasikflaptunnel
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Diffuse lamellar keratitis in the femtosecond-assisted LASIK flap tunnel

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