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JCRS Letter to the Editor Published

posted Oct 26, 2012, 10:05 AM by Jen Weigel   [ updated Oct 26, 2012, 10:21 AM ]
Yeah!  Our Letter to the Editor was published in the Journal of Cataract and Refractive Surgery this month.  

Previously, there was an article describing a rare femtosecond-laser complication in which an inflammatory reaction around the flap margin can begin very early on in the post-op period.  This reaction requires immediate attention and management directly by the surgeon.  The previous article describes one case, but Dr. Holzman has actually managed about 5 of these cases.  We put together a quick Letter to the Editor, but we are planning to present all 5 of these cases in an upcoming case report.  It's amazing how good Dr. Holzman's memory is!  Working with current TLC docs, we came up with 2 cases, but he came up with the names of the other 3 patients all by himself!  

Key points about LASIK-induced peripheral immune keratitis:

Inflammatory, not infectious
Often occurs in those with atopy
Psoriasis, asthma, allergy
An early complication
Seen as early as Day 1 post-op
Seen 5 times in the last 8 years

Some pictures from our personal cases:

This patient had bilateral LASIK-induced peripheral immune keratitis.  It started at the supero-temporal margin of both eyes.  We caught this one super early on Day 1 post-op, and the patient was 20/15 OU at the 6-month post-op check.