Geggel H S
Virginia Mason Clinic, Cornea Department, Seattle, Wash. 98111.
Refract Corneal Surg. 1990 Jan-Feb;6(1):55-8.
Delayed keratitis is an unusual complication of radial keratotomy surgery. A case of documented sterile keratitis involving four adjacent nasal incisions occurred 34 months following a 16-incision radial keratotomy procedure. Multiple cultures and biopsies failed to show a pathogen. The keratitis was confined to the incisional area without involvement of the intervening stroma. A penetrating keratoplasty was necessary to restore useful vision. Clinical and pathological studies documented delayed corneal wound healing.
迟发性角膜炎是放射状角膜切开术手术的一种罕见并发症。在一次16切口放射状角膜切开术后34个月，发生了一例记录在案的无菌性角膜炎，累及四个相邻的鼻侧切口。多次培养和活检均未发现病原体。角膜炎局限于切口区域，未累及其间质。需要进行穿透性角膜移植术以恢复有用视力。临床和病理研究记录了角膜伤口延迟愈合情况。
