PMID- 29885775
OWN - NLM
STAT- In-Data-Review
LR  - 20180724
IS  - 1873-4502 (Electronic)
IS  - 0886-3350 (Linking)
VI  - 44
IP  - 6
DP  - 2018 Jun
TI  - Atypical presentation of diffuse lamellar keratitis after small-incision
      lenticule extraction: Sterile multifocal inflammatory keratitis.
PG  - 774-779
LID - S0886-3350(18)30288-8 [pii]
LID - 10.1016/j.jcrs.2018.03.020 [doi]
AB  - We describe a case of atypical diffuse lamellar keratitis (DLK) following
      small-incision lenticule extraction (SMILE). The patient presented with multiple 
      focal white infiltrates 1 day after routine small-incision lenticule extraction
      surgery. An interface washout was performed, and the patient was managed with
      intensive topical steroids. Potential infectious keratitis was also investigated 
      (by culture and Gram stain) and treated aggressively with steroids and
      antibiotics. The cultures were all negative with no growth, and the focal
      infiltrates gradually resolved, with no relapses at the 15-month postoperative
      follow-up and a faint 0.7 mm superior scar in the right eye. This case highlights
      the importance of using intensive topical steroids as well as performing an
      interface washout in such cases because of the higher risk for corneal melting
      associated with focal infiltrates.
CI  - Copyright (c) 2018 ASCRS and ESCRS. Published by Elsevier Inc. All rights
      reserved.
FAU - Stuart, Alastair
AU  - Stuart A
AD  - From the London Vision Clinic (Reinstein, Stuart, Vida, Archer, Carp), London,
      United Kingdom; Department of Ophthalmology (Reinstein), Columbia University
      Medical Center, New York, New York, USA; Centre Hospitalier National
      d'Ophtalmologie (Reinstein), Paris, France; Biomedical Science Research Institute
      (Reinstein), University of Ulster, Coleraine, Northern Ireland.
FAU - Reinstein, Dan Z
AU  - Reinstein DZ
AD  - From the London Vision Clinic (Reinstein, Stuart, Vida, Archer, Carp), London,
      United Kingdom; Department of Ophthalmology (Reinstein), Columbia University
      Medical Center, New York, New York, USA; Centre Hospitalier National
      d'Ophtalmologie (Reinstein), Paris, France; Biomedical Science Research Institute
      (Reinstein), University of Ulster, Coleraine, Northern Ireland. Electronic
      address: dzr@londonvisionclinic.com.
FAU - Vida, Ryan S
AU  - Vida RS
AD  - From the London Vision Clinic (Reinstein, Stuart, Vida, Archer, Carp), London,
      United Kingdom; Department of Ophthalmology (Reinstein), Columbia University
      Medical Center, New York, New York, USA; Centre Hospitalier National
      d'Ophtalmologie (Reinstein), Paris, France; Biomedical Science Research Institute
      (Reinstein), University of Ulster, Coleraine, Northern Ireland.
FAU - Archer, Timothy J
AU  - Archer TJ
AD  - From the London Vision Clinic (Reinstein, Stuart, Vida, Archer, Carp), London,
      United Kingdom; Department of Ophthalmology (Reinstein), Columbia University
      Medical Center, New York, New York, USA; Centre Hospitalier National
      d'Ophtalmologie (Reinstein), Paris, France; Biomedical Science Research Institute
      (Reinstein), University of Ulster, Coleraine, Northern Ireland.
FAU - Carp, Glenn
AU  - Carp G
AD  - From the London Vision Clinic (Reinstein, Stuart, Vida, Archer, Carp), London,
      United Kingdom; Department of Ophthalmology (Reinstein), Columbia University
      Medical Center, New York, New York, USA; Centre Hospitalier National
      d'Ophtalmologie (Reinstein), Paris, France; Biomedical Science Research Institute
      (Reinstein), University of Ulster, Coleraine, Northern Ireland.
LA  - eng
PT  - Journal Article
DEP - 20180606
PL  - United States
TA  - J Cataract Refract Surg
JT  - Journal of cataract and refractive surgery
JID - 8604171
EDAT- 2018/06/11 06:00
MHDA- 2018/06/11 06:00
CRDT- 2018/06/11 06:00
PHST- 2018/02/07 00:00 [received]
PHST- 2018/03/05 00:00 [revised]
PHST- 2018/03/06 00:00 [accepted]
PHST- 2018/06/11 06:00 [pubmed]
PHST- 2018/06/11 06:00 [medline]
PHST- 2018/06/11 06:00 [entrez]
AID - S0886-3350(18)30288-8 [pii]
AID - 10.1016/j.jcrs.2018.03.020 [doi]
PST - ppublish
SO  - J Cataract Refract Surg. 2018 Jun;44(6):774-779. doi: 10.1016/j.jcrs.2018.03.020.
      Epub 2018 Jun 6.