Late development of ulcerative keratitis in radial keratotomy scars

S. Mandelbaum, Richard Forster, William W Culbertson, W. W. Culbertson, J. J. Rowsey, M. E. Espinal

Research output: Contribution to journalArticle

35 Citations (Scopus)

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
Pages (from-to)1156-1160
Number of pages5
JournalArchives of Ophthalmology
Volume104
Issue number8
StatePublished - Oct 8 1986

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Radial Keratotomy
Corneal Ulcer
Ulcer
Cicatrix
Extended-Wear Contact Lenses
Corneal Topography
Hydrophilic Contact Lens
Myopia
Tears
Visual Acuity
Bacteria
Infection
Corneal Injuries
Therapeutics

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Mandelbaum, S., Forster, R., Culbertson, W. W., Culbertson, W. W., Rowsey, J. J., & Espinal, M. E. (1986). Late development of ulcerative keratitis in radial keratotomy scars. Archives of Ophthalmology, 104(8), 1156-1160.

Late development of ulcerative keratitis in radial keratotomy scars. / Mandelbaum, S.; Forster, Richard; Culbertson, William W; Culbertson, W. W.; Rowsey, J. J.; Espinal, M. E.

In: Archives of Ophthalmology, Vol. 104, No. 8, 08.10.1986, p. 1156-1160.

Research output: Contribution to journalArticle

Mandelbaum, S, Forster, R, Culbertson, WW, Culbertson, WW, Rowsey, JJ & Espinal, ME 1986, 'Late development of ulcerative keratitis in radial keratotomy scars', Archives of Ophthalmology, vol. 104, no. 8, pp. 1156-1160.
Mandelbaum S, Forster R, Culbertson WW, Culbertson WW, Rowsey JJ, Espinal ME. Late development of ulcerative keratitis in radial keratotomy scars. Archives of Ophthalmology. 1986 Oct 8;104(8):1156-1160.
Mandelbaum, S. ; Forster, Richard ; Culbertson, William W ; Culbertson, W. W. ; Rowsey, J. J. ; Espinal, M. E. / Late development of ulcerative keratitis in radial keratotomy scars. In: Archives of Ophthalmology. 1986 ; Vol. 104, No. 8. pp. 1156-1160.
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