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Recurrent Peripheral Stromal Keratitis Following Corneal Collagen Cross-linking: A Case Report
PURPOSE: Corneal collagen cross-linking (CXL) has become the standard initial intervention in eyes with progressive keratoconus (KC) that have not undergone keratoplasty. The prolonged exposure of the de-epithelialized cornea predisposes it to adverse complications, such as microbial keratitis and m...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6504722/ https://www.ncbi.nlm.nih.gov/pubmed/31114658 http://dx.doi.org/10.4103/jovr.jovr_100_18 |
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author | Faramarzi, Amir Hassanpour, Kiana Roshandel, Danial Fatourechi, Ali |
author_facet | Faramarzi, Amir Hassanpour, Kiana Roshandel, Danial Fatourechi, Ali |
author_sort | Faramarzi, Amir |
collection | PubMed |
description | PURPOSE: Corneal collagen cross-linking (CXL) has become the standard initial intervention in eyes with progressive keratoconus (KC) that have not undergone keratoplasty. The prolonged exposure of the de-epithelialized cornea predisposes it to adverse complications, such as microbial keratitis and melting. Herein, we report a case of bilateral recurrent peripheral stromal keratitis following CXL. CASE REPORT: We present a 29-year-old woman who complained of ocular redness and discomfort in both eyes for 4 months, and had undergone bilateral CXL 10 months before. The best spectacle corrected visual acuity (BSCVA) was 60/200 in the right and 80/200 in the left eye. Both eyes showed moderate conjunctival hyperemia, dilation, and engorgement of the perilimbal episcleral vessels. There was a peripheral corneal stromal infiltration with thinning, and an overlying epithelial defect in the right eye with a lucid interval from the limbus. She was treated with lubricating eye drops and ointments and topical corticosteroids every 4 hours for 2 weeks then slowly tapered off. Afterwards, she experienced multiple recurrences in both eyes, which were successfully managed with topical corticosteroids and lubricants. After 2 years, her BSCVA was 20/30 with −3.00-5.50 * 90 in the right eye and 20/40 with −4.00-4.50 * 90 in the left. CONCLUSION: Although CXL is a safe method, studies with longer follow-ups are needed to investigate the risk of rare complications. |
format | Online Article Text |
id | pubmed-6504722 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-65047222019-05-21 Recurrent Peripheral Stromal Keratitis Following Corneal Collagen Cross-linking: A Case Report Faramarzi, Amir Hassanpour, Kiana Roshandel, Danial Fatourechi, Ali J Ophthalmic Vis Res Case Report PURPOSE: Corneal collagen cross-linking (CXL) has become the standard initial intervention in eyes with progressive keratoconus (KC) that have not undergone keratoplasty. The prolonged exposure of the de-epithelialized cornea predisposes it to adverse complications, such as microbial keratitis and melting. Herein, we report a case of bilateral recurrent peripheral stromal keratitis following CXL. CASE REPORT: We present a 29-year-old woman who complained of ocular redness and discomfort in both eyes for 4 months, and had undergone bilateral CXL 10 months before. The best spectacle corrected visual acuity (BSCVA) was 60/200 in the right and 80/200 in the left eye. Both eyes showed moderate conjunctival hyperemia, dilation, and engorgement of the perilimbal episcleral vessels. There was a peripheral corneal stromal infiltration with thinning, and an overlying epithelial defect in the right eye with a lucid interval from the limbus. She was treated with lubricating eye drops and ointments and topical corticosteroids every 4 hours for 2 weeks then slowly tapered off. Afterwards, she experienced multiple recurrences in both eyes, which were successfully managed with topical corticosteroids and lubricants. After 2 years, her BSCVA was 20/30 with −3.00-5.50 * 90 in the right eye and 20/40 with −4.00-4.50 * 90 in the left. CONCLUSION: Although CXL is a safe method, studies with longer follow-ups are needed to investigate the risk of rare complications. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6504722/ /pubmed/31114658 http://dx.doi.org/10.4103/jovr.jovr_100_18 Text en Copyright: © 2019 Journal of Ophthalmic and Vision Research http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Faramarzi, Amir Hassanpour, Kiana Roshandel, Danial Fatourechi, Ali Recurrent Peripheral Stromal Keratitis Following Corneal Collagen Cross-linking: A Case Report |
title | Recurrent Peripheral Stromal Keratitis Following Corneal Collagen Cross-linking: A Case Report |
title_full | Recurrent Peripheral Stromal Keratitis Following Corneal Collagen Cross-linking: A Case Report |
title_fullStr | Recurrent Peripheral Stromal Keratitis Following Corneal Collagen Cross-linking: A Case Report |
title_full_unstemmed | Recurrent Peripheral Stromal Keratitis Following Corneal Collagen Cross-linking: A Case Report |
title_short | Recurrent Peripheral Stromal Keratitis Following Corneal Collagen Cross-linking: A Case Report |
title_sort | recurrent peripheral stromal keratitis following corneal collagen cross-linking: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6504722/ https://www.ncbi.nlm.nih.gov/pubmed/31114658 http://dx.doi.org/10.4103/jovr.jovr_100_18 |
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