Choi Hyuck-Won, Moon Sang-Woong, Nam Kee-Hyun, Chung So-Hyang
Department of Ophthalmology, Inje University College of Medicine, Seoul Paik Hospital, Seoul, Korea.
Cornea. 2008 Feb;27(2):252-4. doi: 10.1097/ICO.0b013e31815bcd9c.
To report a case of late-onset interface inflammation associated with wearing a cosmetic lens 18 months after laser in situ keratomileusis (LASIK).
A 25-year-old woman visited our hospital with visual disturbance and ocular pain in the left eye. The patient had undergone LASIK in both eyes 18 months ago and had been wearing cosmetic lenses intermittently for 6 months. The day before presentation, the patient had slept with cosmetic lenses. At presentation, best-corrected visual acuity was 2/200 in the left eye. Slit-lamp examination of the left eye revealed corneal edema and a diffuse granular white infiltrate at the interface.
Intense topical steroid and antibiotic treatment resulted in resolution of interface inflammation. After 2 weeks, the corneal infiltrate had resolved, and best-corrected visual acuity had improved to 20/25.
This case indicates that late-onset interface inflammation can develop in association with the use of cosmetic lenses in LASIK-treated eyes.
报告一例准分子原位角膜磨镶术（LASIK）后18个月佩戴美瞳导致迟发性界面炎症的病例。
一名25岁女性因左眼视力障碍和眼痛前来我院就诊。该患者18个月前双眼接受了LASIK手术，并间歇性佩戴美瞳6个月。就诊前一天，患者戴着美瞳睡觉。就诊时，左眼最佳矫正视力为2/200。裂隙灯检查发现左眼角膜水肿，界面处有弥漫性颗粒状白色浸润。
强化局部类固醇和抗生素治疗使界面炎症消退。2周后，角膜浸润消退，最佳矫正视力提高到20/25。
该病例表明，LASIK治疗后的眼睛使用美瞳可能会引发迟发性界面炎症。
