Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi 110002, India.
Cont Lens Anterior Eye. 2012 Oct;35(5):233-5. doi: 10.1016/j.clae.2012.06.002. Epub 2012 Jul 10.
Corneal collagen crosslinking (CXL) is a non invasive technique used in halting the progression of keratoconus. Complications with this modality are rare. We report a case of an 8-year-old child who developed sterile infiltrates in the immediate postoperative period after uneventful corneal collagen crosslinking for keratoconus. The infiltrates resolved with topical steroid therapy. There was also present coexisting vernal keratoconjunctivitis (VKC) which was controlled with topical 2% cyclosporine A eye drops prior to crosslinking treatment. This case highlights importance of controlling VKC prior to CXL in keratoconus as it adds to the risk of developing post operative sterile keratitis.
角膜胶原交联术(CXL)是一种用于阻止圆锥角膜进展的非侵入性技术。这种方法的并发症很少见。我们报告了一例 8 岁儿童,在无并发症的圆锥角膜角膜胶原交联术后即刻发生无菌性浸润。经局部皮质类固醇治疗后,浸润消退。同时还存在共存的春季角结膜炎(VKC),在交联治疗前用 2%环孢素 A 滴眼液局部控制。本病例强调了在圆锥角膜行 CXL 术前控制 VKC 的重要性,因为它会增加术后无菌性角膜炎的风险。