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Journal francais d'ophtalmologie · 2026

Diffuse lamellar keratitis after kerato-refractive lenticule extraction: A case report and systematic review of published cases.

СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Pourazizi M, Nourbakhsh S-A, Peyman A, Pourmahdi-Boroujeni M, Khalilian M S

Аннотация

PURPOSE: This paper aims to present a rare case of diffuse lamellar keratitis (DLK) following kerato-refractive lenticule extraction (KLEx) surgery and to provide a comprehensive review of all reported cases.

METHODS: In this case report, we present a 27-year-old patient who developed stage 3 DLK following KLEx surgery by SmartSight. The condition was managed with an interface washout using balanced salt solution and an intensive topical corticosteroid regimen. Additionally, we conducted a systematic review of published cases of KLEx-related DLK up to June 2025.

RESULTS: Clinical symptoms and slit-lamp findings showed significant improvement three days after the interface washout. By day six, the cornea appeared clear with resolution of the inflammation.

CONCLUSION: KLEx-related DLK is a rare complication that usually presents within 1-2 days postoperatively, with common symptoms such as blurred vision and ocular discomfort. Management strategies, including topical corticosteroids and interface washout in selected cases, can lead to favorable visual outcomes.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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