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Open Access Case report

Hyeropic shift after LASIK induced Diffuse lamellar keratitis

Tanuj Dada, Mayank S Pangtey, Namrata Sharma, Rasik B Vajpayee, Vishal Jhanji and Harinder Singh Sethi*

Author Affiliations

Dr Rajendran Prasad Center for Ophtahlmic Sciences, All India Institute of Medical Science, NewDelhi-110029, India

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BMC Ophthalmology 2006, 6:19  doi:10.1186/1471-2415-6-19

Published: 28 April 2006

Abstract

Background

Diffuse lamellar keratitis (DLK) is a relatively new syndrome that is increasingly being reported after LASIK. We have observed that a hyperopic shift may be associated with the occurrence of this diffuse lamellar keratitis.

Case presentation

A 26 year old man developed bilateral diffuse lamellar keratitis (DLK) following myopic LASIK. The residual refractive error was +0.5D OD and +0.25D OS at the end of the first week. The sterile infiltrates resolved over a period of 4–6 weeks on topical steroid therapy. A progressive hyperopic shift was noted in the right eye with an error +4.25Dsph/+0.25Dcyl 20 at the final follow up 6 months post surgery.

Conclusion

Diffuse lamellar keratitis after LASIK may be associated with a significant hyperopic shift.