de Rojas Silva Victoria, Rodríguez-Ares Teresa, Díez-Feijóo Elío, Sánchez-Salorio Manuel
Fundación Instituto Galego de Oftalmoloxía, University of Santiago, Santiago de Compostela, Spain.
Ophthalmic Surg Lasers Imaging. 2003 Jan-Feb;34(1):68-72.
This article reports a case of diffuse lamellar keratitis, without exposure of the flap interface, that developed in a patient who underwent intraepithelial photorefractive keratectomy 1 year after bilateral LASIK. Confocal microscopy was performed in both eyes at the onset of the diffuse lamellar keratitis and after its resolution. In the eye with diffuse lamellar keratitis, abundant round structures (inflammatory cells) were present at the interface; these structures disappeared after the keratitis resolved and were not present in the contralateral eye at any time. These confocal microscopic findings further support the hypothesis that diffuse lamellar keratitis is a nonspecific inflammatory response in corneas with a lamellar interface.
本文报告了1例弥漫性板层角膜炎病例，该患者在双眼准分子激光原位角膜磨镶术（LASIK）术后1年接受了上皮下光性角膜切削术，未出现瓣界面暴露情况。在弥漫性板层角膜炎发作时及病情缓解后，对双眼进行了共聚焦显微镜检查。在患有弥漫性板层角膜炎的眼中，界面处存在大量圆形结构（炎性细胞）；角膜炎消退后这些结构消失，且对侧眼在任何时候均未出现。这些共聚焦显微镜检查结果进一步支持了弥漫性板层角膜炎是板层界面角膜的一种非特异性炎症反应这一假说。
