J Korean Ophthalmol Soc.  2023 Mar;64(3):256-259. 10.3341/jkos.2023.64.3.256.

A Case of Sterile Peripheral Corneal Infiltrative Event after LASIK

• Ha SH
• Kim Hk
• Jo YJ
• Lee JS

• KMID: 2540490
• DOI: http://doi.org/10.3341/jkos.2023.64.3.256

Abstract

Purpose
To report a rare, sterile, peripheral, corneal infiltrative event after laser in situ keratomileusis (LASIK).
Case summary
A 29-year-old male presented with left-eye conjunctival injection and peripheral corneal infiltration 3 days after LASIK. A whitish, oval, peripheral infiltration around the corneal flap was apparent from 6-to-10 o’clock in the limbus. Slit lamp examination revealed conjunctival injection and mild corneal edema but neither a corneal epithelial defect nor an inflammatory reaction of the anterior chamber. Intensive cycloplegic, steroid ointment, steroid drops, antibiotic drops, and artificial tear therapies were prescribed under the impression of a sterile, peripheral, corneal infiltrative event. After 1 month, the symptoms and corneal opacity resolved without any complications.
Conclusions
A sterile, peripheral, corneal infiltrative event, namely, an oval infiltration of the periphery of the cornea without pain or epithelial damage can develop after LASIK but responds well to steroid eye drops.

Keyword

Keratitis, LASIK, Peripheral corneal infiltration, Sterile keratitis