Incidence, Treatment and Visual Outcomes of Non-Infectious Keratitis as a Postoperative Complication of Laser-Assisted in-Situ Keratomileusis (LASIK).

Saleh, Mahmoud M; Galhoom, Ahmed I; Shelil, Abdallah E; Hegazi, Hasan M; Wahdan, Mohamed A

doi:10.21608/ejhm.2010.17376

Incidence, Treatment and Visual Outcomes of Non-Infectious Keratitis as a Postoperative Complication of Laser-Assisted in-Situ Keratomileusis (LASIK).

Document Type : Original Article

Authors

Department of ophthalmology, Faculty of medicine Al Azhar University

10.21608/ejhm.2010.17376

Abstract

Purpose: To study the incidence, treatment, and visual outcomes of Non-Infectious Keratitis as a Postoperative Complication of Laser in-Situ Keratomileusis (LASIK) at Elite Medical & Surgical Center. K S A

Methods: The files of 3500 post-LASIK patients (6326 eyes) were reviewed for the development of Non-Infectious Keratitis. Incidence, management regimens, and final best spectacle corrected visual acuity (BSCVA) were reported.

Results: Post-LASIK Non-Infectious Keratitis was diagnosed in 149 eyes (2.35%). The Keratitis was classified as diffuse lamellar keratitis (DLK) in 89 eyes (1.4%) and 60 eyes (0.94%) as localized debris-related Keratitis (LDK).

Conclusion: The occurrence of post-LASIK Non-Infectious Keratitis was 2.35%, with DLK being the common diagnosis overall, with 92.6% of patients achieving ≤ 20/20 BSCVA. The best way for prevention of DLK is to eliminate defined predisposing factors for DLK. Close follow-up during the early postoperative period.