Al-Amry Mohammed A
Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Middle East Afr J Ophthalmol. 2014 Jan-Mar;21(1):83-5. doi: 10.4103/0974-9233.124114.
This study presents a case report of the clinical presentation and management of a 47-year-old male myope who underwent photorefractive keratectomy (PRK) and developed bilateral sterile corneal infiltrates at 1 day post-operatively. The patient was successfully treated with aggressive topical antibiotic and topical steroid therapy. The final corrected distance visual acuity (CDVA) was 20/25 with faint corneal scarring. Peripheral sterile corneal infiltrate can occur after PRK with excellent prognosis. Infectious causes should be suspected in all cases of corneal infiltrate. The most likely cause of peripheral sterile corneal infiltrate in this case was pooling of the tear film containing antigens under the bandage contact lens.
本研究报告了一例47岁男性近视患者的临床表现及治疗情况，该患者接受了准分子激光角膜切削术（PRK），术后1天出现双侧无菌性角膜浸润。患者通过积极的局部抗生素和局部类固醇治疗成功治愈。最终矫正远视力（CDVA）为20/25，角膜有轻微瘢痕。PRK术后可出现周边无菌性角膜浸润，预后良好。所有角膜浸润病例均应怀疑有感染原因。本例周边无菌性角膜浸润最可能的原因是绷带式隐形眼镜下含有抗原的泪膜积聚。
