Yu Edward Y W, Rao Srinivas K, Cheng Arthur C K, Law Ricky W K, Leung Alfred T S, Lam Dennis S C
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, University Eye Center, Hong Kong Eye Hospital, Hong Kong, China.
J Cataract Refract Surg. 2002 May;28(5):891-4. doi: 10.1016/s0886-3350(01)01095-1.
We describe a patient with multiple superior corneal infiltrates in both eyes, separated from the limbus by an intervening clear zone, that appeared 1 day after uneventful laser in situ keratomileusis. The overlying epithelium was intact, and the flap and interface were uninvolved. Based on these features, a clinical diagnosis of sterile corneal infiltrates was made and the eyes were treated with topical antibiotics and steroids. The infiltrates resolved during the ensuing weeks without corneal scarring. Good visual acuity was maintained. Recognition of this benign complication is important because aggressive corneal scrapings are not required. The infiltrates appear to be immunogenic in origin, although the exact etiopathogenesis is not clear.
我们描述了一名患者，双眼出现多处角膜上皮下浸润，与角膜缘之间有一清晰区相隔，这些浸润在顺利完成准分子原位角膜磨镶术后1天出现。上方的角膜上皮完整，角膜瓣和角膜基质床未受累。基于这些特征，临床诊断为无菌性角膜浸润，双眼用局部抗生素和类固醇治疗。在随后几周内浸润消退，未形成角膜瘢痕。视力保持良好。认识到这种良性并发症很重要，因为无需进行侵入性角膜刮片。浸润似乎起源于免疫反应，尽管确切的发病机制尚不清楚。
