Late Development of Ulcerative Keratitis in Radial Keratotomy Scars

Sid Mandelbaum, Richard K. Forster, William W. Culbertson, Maria E. Espinal

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

We describe three patients in whom ulcerative keratitis developed seven months to 2 1/2 years after uncomplicated radial keratotomy. All ulcers occurred along keratotomy scars within the interpalpebral fissure or inferiority. At least one case developed spontaneously; another patient may have sustained an unrecognized corneal injury. The third patient was using an extended-wear soft contact lens for correction of residual myopia. Bacteria were isolated from two of the ulcers. With therapy, all ulcers healed without reducing visual acuity. We hypothesize that the altered structure of the slowly healing keratotomy incisions coupled with redistribution of the tear film due to changes in corneal topography may result in intermittent epithelial irregularities. Alone or in conjunction with any form of mechanical or hypoxic corneal injury, these changes along keratotomy incisions may predispose to corneal infection.

Original languageEnglish (US)
Pages (from-to)1156-1160
Number of pages5
JournalArchives of ophthalmology
Volume104
Issue number8
DOIs
StatePublished - Aug 1986

ASJC Scopus subject areas

  • Ophthalmology

Fingerprint Dive into the research topics of 'Late Development of Ulcerative Keratitis in Radial Keratotomy Scars'. Together they form a unique fingerprint.

  • Cite this