Mackman G
Department of Ophthalmology, Phoenix Baptist Hospital, Ariz.
Refract Corneal Surg. 1992 Mar-Apr;8(2):122-4.
A case of sterile keratitis involving three adjacent incisions and intervening stroma occurring 5 years after an eight-incision radial keratotomy is reported.
Multiple cultures showed no pathogens. Treatment with antibiotics, lubricants, patching, and bandage contact lenses failed to improve the condition. A conjunctival bridge flap was therefore performed.
Total resolution of the keratitis occurred rapidly after performing the conjunctival bridge flap.
Delayed keratitis following radial keratotomy has been reported in the past. Treatment in these cases has primarily been corneal transplantation. The present case presents an alternative treatment, conjunctival bridge flap, which was successful in this case of sterile keratitis following radial keratotomy.
报告了1例在8切口放射状角膜切开术后5年发生的累及3个相邻切口及中间基质的无菌性角膜炎病例。
多次培养均未发现病原体。使用抗生素、润滑剂、眼部包扎及绷带式隐形眼镜治疗均未能改善病情。因此实施了结膜桥瓣术。
实施结膜桥瓣术后，角膜炎迅速完全消退。
过去已有关于放射状角膜切开术后迟发性角膜炎的报道。这些病例的主要治疗方法是角膜移植。本病例提供了一种替代治疗方法，即结膜桥瓣术，该方法在本例放射状角膜切开术后无菌性角膜炎中取得了成功。
