Late onset lamellar keratitis and epithelial ingrowth following orbital cellulitis.

PURPOSE: To report a case of late onset lamellar keratitis and epithelial ingrowth associated with orbital cellulitis 1 month after LASIK surgery.

METHODS

A 19-year-old patient presented with pain and subsequent blurry vision in the right eye. One month prior to presentation, he had undergone LASIK in both eyes. Orbital cellulitis was suspected.

RESULTS

Under aggressive treatment, the patient recovered from orbital cellulitis and lamellar keratitis and he also regained his vision with topical steroid treatment.

CONCLUSIONS

Lamellar keratitis does not always occur early following LASIK and may be associated with orbital cellulitis.