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 language | English |
|---|---|
| Pages (from-to) | 1156-1160 |
| Number of pages | 5 |
| Journal | Archives of Ophthalmology |
| Volume | 104 |
| Issue number | 8 |
| State | Published - Oct 8 1986 |
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ASJC Scopus subject areas
- Ophthalmology
Cite this
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 journal › Article
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TY - JOUR
T1 - Late development of ulcerative keratitis in radial keratotomy scars
AU - Mandelbaum, S.
AU - Forster, Richard
AU - Culbertson, William W
AU - Culbertson, W. W.
AU - Rowsey, J. J.
AU - Espinal, M. E.
PY - 1986/10/8
Y1 - 1986/10/8
N2 - 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.
AB - 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.
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M3 - Article
C2 - 3741245
AN - SCOPUS:0022508658
VL - 104
SP - 1156
EP - 1160
JO - JAMA Ophthalmology
JF - JAMA Ophthalmology
SN - 2168-6165
IS - 8
ER -