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KMID : 1038920150140010041
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Annals of Optometry and Contact Lens
2015 Volume.14 No. 1 p.41 ~ p.44
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A Case of Late Onset Interlamellar Keratitis Associated with Trauma
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Lee Jee-Hye
Chung So-Hyang
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Abstract
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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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KEYWORD
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Lamellar keratitis, Steroid, Trauma
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