TY - JOUR
T1 - Necrotizing keratitis after laser refractive surgery in patients with inactive inflammatory bowel disease
AU - Aman-Ullah, Muhammad
AU - Gimbel, Howard V.
AU - Purba, Mona K.
AU - Van Westenbrugge, John A.
PY - 2012/1
Y1 - 2012/1
N2 - Two cases of necrotizing keratitis following laser refractive corneal surgery, with stable and controlled Crohn's disease are described. A 40-year-old woman developed bilateral stromal inflammation and inferior thinning in the right eye along the flap edge within 1 day of uneventful bilateral IntraLase laser-assisted in situ keratomileusis. The other case is a 30-year-old man who also developed bilateral inferior stromal infiltrates 2 days following photorefractive keratectomy. Both cases were aggressively treated with systemic and topical corticosteroids. The infiltrates in both patients gradually resolved, with one relapse during the 7 months period of follow-up in the first case. These cases highlight the importance of taking precautions considering this and similar autoimmune conditions as a relative contraindication to refractive surgery.
AB - Two cases of necrotizing keratitis following laser refractive corneal surgery, with stable and controlled Crohn's disease are described. A 40-year-old woman developed bilateral stromal inflammation and inferior thinning in the right eye along the flap edge within 1 day of uneventful bilateral IntraLase laser-assisted in situ keratomileusis. The other case is a 30-year-old man who also developed bilateral inferior stromal infiltrates 2 days following photorefractive keratectomy. Both cases were aggressively treated with systemic and topical corticosteroids. The infiltrates in both patients gradually resolved, with one relapse during the 7 months period of follow-up in the first case. These cases highlight the importance of taking precautions considering this and similar autoimmune conditions as a relative contraindication to refractive surgery.
KW - Inflammatory bowel disease
KW - Keratitis
KW - Laser-assisted in situ keratomileusis
KW - Photorefractive keratectomy
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U2 - 10.1159/000336567
DO - 10.1159/000336567
M3 - Article
SN - 1663-2699
VL - 3
SP - 54
EP - 60
JO - Case Reports in Ophthalmology
JF - Case Reports in Ophthalmology
IS - 1
ER -