LASİK Sonrası Geç Dönem Diskiform Endoteliyitis

Clinical and imaging features of the patient with late herpetic keratouveitis after LASIK were investigated. A 25-year-old male patient\udapplied with a chief complaint of blurred vision and photophobia in the left eye. He had a history of herpetic keratitits and elsewhere\udunderwent LASIK procedure in 2005. Oral and topical acyclovir treatments were started a week ago when his complaints started. His\udcorrected distance visual acuity was 0.2 and intraocular pressure was 14 mmHg on the left eye. Slit-lamp revealed deep central disciform\udedema, keratic precipitates, and 2 positive cells in the anterior chamber. Although the patient had myopic LASIK ablation, the central\udcorneal thickness was 652 microns. Scheimpflug imaging was drawing attention to the thickening of the posterior cornea and the keratic\udprecipitates. Sagital and anterior elevation maps were not affected, however, posterior elevation map showed marked central flattening.\udAsphericity value Q was within normal limits anteriorly (Q=-0.14) and it was in oblate appearance posteriorly (Q=+5.24). In addition\udto the antiviral medications, a topical dexamethasone treatment was started. The vision improved to 0.6, and the edema was markedly\udreduced after 4 days of treatment. Scheimpflug imaging parameters were significantly improved. (Turk J Ophthalmol 2013; 43: 282-5