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 ◦Rare –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. You can view the article here: Journal of Cataract and Refractive Surgery Letter to the Editor. - jw |
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