Abstract
Purpose: To review the case of a 41-year-old woman who underwent bariatric surgery in 2000. She subsequently underwent laser in situ keratomileusis (LASIK) surgery in 2008 and complained of dry eye since the LASIK surgery. In November 2010, she was diagnosed with a corneal melt and was treated with aggressive lubrication, followed by eventual amniotic membrane placement and a tarsorrhaphy. She then presented for consultation at the Bascom Palmer Eye Institute when she developed a corneal infiltrate. She was diagnosed with fungal keratitis with corneal xerosis. At that time, vitamin A levels were measured and were less than 2 μ/dL. The patient admitted noncompliance with nutritional supplements. Methods: Case report. Results: The patient was treated with aggressive lubrication and natamycin. Vitamin supplements were restarted, and the patient experienced dramatic improvement in symptoms with resolution of the infection. A central corneal scar with corneal thinning remains. The patient underwent a penetrating keratoplasty for visual rehabilitation. Conclusions: Patient education with emphasis on compliance with nutritional supplements is essential after bariatric surgery. Consider vitamin A deficiency in the differential diagnosis of dry eye after LASIK surgery.
| Original language | English |
|---|---|
| Pages (from-to) | 1497-1499 |
| Number of pages | 3 |
| Journal | Cornea |
| Volume | 31 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 1 2012 |
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Keywords
- bariatric surgery
- dry eye
- gastric bypass
- keratoconjunctivitis sicca
- LASIK
- vitamin A
ASJC Scopus subject areas
- Ophthalmology
Cite this
Corneal ulceration in a LASIK patient due to vitamin a deficiency after bariatric surgery. / Donaldson, Kendall; Fishler, Jane.
In: Cornea, Vol. 31, No. 12, 01.12.2012, p. 1497-1499.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Corneal ulceration in a LASIK patient due to vitamin a deficiency after bariatric surgery
AU - Donaldson, Kendall
AU - Fishler, Jane
PY - 2012/12/1
Y1 - 2012/12/1
N2 - Purpose: To review the case of a 41-year-old woman who underwent bariatric surgery in 2000. She subsequently underwent laser in situ keratomileusis (LASIK) surgery in 2008 and complained of dry eye since the LASIK surgery. In November 2010, she was diagnosed with a corneal melt and was treated with aggressive lubrication, followed by eventual amniotic membrane placement and a tarsorrhaphy. She then presented for consultation at the Bascom Palmer Eye Institute when she developed a corneal infiltrate. She was diagnosed with fungal keratitis with corneal xerosis. At that time, vitamin A levels were measured and were less than 2 μ/dL. The patient admitted noncompliance with nutritional supplements. Methods: Case report. Results: The patient was treated with aggressive lubrication and natamycin. Vitamin supplements were restarted, and the patient experienced dramatic improvement in symptoms with resolution of the infection. A central corneal scar with corneal thinning remains. The patient underwent a penetrating keratoplasty for visual rehabilitation. Conclusions: Patient education with emphasis on compliance with nutritional supplements is essential after bariatric surgery. Consider vitamin A deficiency in the differential diagnosis of dry eye after LASIK surgery.
AB - Purpose: To review the case of a 41-year-old woman who underwent bariatric surgery in 2000. She subsequently underwent laser in situ keratomileusis (LASIK) surgery in 2008 and complained of dry eye since the LASIK surgery. In November 2010, she was diagnosed with a corneal melt and was treated with aggressive lubrication, followed by eventual amniotic membrane placement and a tarsorrhaphy. She then presented for consultation at the Bascom Palmer Eye Institute when she developed a corneal infiltrate. She was diagnosed with fungal keratitis with corneal xerosis. At that time, vitamin A levels were measured and were less than 2 μ/dL. The patient admitted noncompliance with nutritional supplements. Methods: Case report. Results: The patient was treated with aggressive lubrication and natamycin. Vitamin supplements were restarted, and the patient experienced dramatic improvement in symptoms with resolution of the infection. A central corneal scar with corneal thinning remains. The patient underwent a penetrating keratoplasty for visual rehabilitation. Conclusions: Patient education with emphasis on compliance with nutritional supplements is essential after bariatric surgery. Consider vitamin A deficiency in the differential diagnosis of dry eye after LASIK surgery.
KW - bariatric surgery
KW - dry eye
KW - gastric bypass
KW - keratoconjunctivitis sicca
KW - LASIK
KW - vitamin A
UR - http://www.scopus.com/inward/record.url?scp=84870246852&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84870246852&partnerID=8YFLogxK
U2 - 10.1097/ICO.0b013e318243e4ac
DO - 10.1097/ICO.0b013e318243e4ac
M3 - Article
C2 - 22525781
AN - SCOPUS:84870246852
VL - 31
SP - 1497
EP - 1499
JO - Cornea
JF - Cornea
SN - 0277-3740
IS - 12
ER -