A Case of Late Onset Interlamellar Keratitis Associated with Trauma

Lee, Jee Hye; Chung, So Hyang

Case Report

Annals of Optometry and Contact Lens 2015;14(1):41-44.
Published online March 25, 2015.

A Case of Late Onset Interlamellar Keratitis Associated with Trauma

Department of Ophthalmology and Visual Science, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea

Received: 29 January 2015 • Revised: 13 February 2015 • Accepted: 2 March 2015

Abstract

Purpose: We report a case of late onset interlamellar keratitis associated with corneal trauma 10 years after laser in situ keratomileusis.
Case summary: A 33-year-old man who underwent laser in situ keratomileusis 10 years ago and laser epithelial keratomileusis 5 years ago for enhancement in both eyes presented with a red eye and decreased visual acuity in his left eye due to trauma with a foreign body. There was a horseshoe-shaped epithelial defect and infiltration in the interface below as the same shape of epithelial defect. He was treated with Moxifloxacine 0.5% (Vigamox?, Alcon, Fort worth, USA) for 2 days and the epithelial defect was healed. For remained interlamellar keratitis, he was commenced on Prednisolone Acetate 1% (Pred forte?, Allergan, Irvine, USA) 4 times a day with gradual resolution of the lamellar keratitis over a course of 3 weeks. Prednisolone Acetate 1% was then slowly tapered for 2 months with clearance of corneal opacity.
Conclusions: In the case of lamellar keratitis associated with corneal epithelial defect due to trauma, regarding as non-infectious keratitis, early treatment with topical steroid can help eliminate visual loss associated with this condition.
Ann Optom Contact Lens 2015;14(1):41-44

Key Words: Lamellar keratitis, Steroid, Trauma<; br>