Necrotizing keratitis after laser refractive surgery in patients with inactive inflammatory bowel disease

Muhammad Aman-Ullah; Howard V. Gimbel; Mona K. Purba; John A. Van Westenbrugge

doi:10.1159/000336567

Necrotizing keratitis after laser refractive surgery in patients with inactive inflammatory bowel disease

Muhammad Aman-Ullah
, Howard V. Gimbel
, Mona K. Purba
, John A. Van Westenbrugge

Ophthalmology

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	54-60
Number of pages	7
Journal	Case Reports in Ophthalmology
Volume	3
Issue number	1
DOIs	https://doi.org/10.1159/000336567
State	Published - Jan 2012

ASJC Scopus Subject Areas

Ophthalmology

Keywords

Inflammatory bowel disease
Keratitis
Laser-assisted in situ keratomileusis
Photorefractive keratectomy

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abstract = "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.",

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AU - Van Westenbrugge, John A.

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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.

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Necrotizing keratitis after laser refractive surgery in patients with inactive inflammatory bowel disease

Abstract

ASJC Scopus Subject Areas

Keywords

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