Bilateral marginal sterile infiltrates and XXXX after laser in situ keratomileusis.

@entity1 @entity2516 @entity1036 @entity409 @entity14985
PURPOSE: To report cases of acute bilateral catarrhal infiltrates in the early postoperative period after laser in situ keratomileusis (LASIK). METHODS: Retrospective review of both eyes of two @entity1 . RESULTS: Two @entity1 developed acute bilateral, marginal, catarrhal infiltrates in the early postoperative period after LASIK. Both @entity1 had moderate to severe chronic @entity409 preoperatively. One @entity1 (both eyes) developed grade 3 @entity1036 ( @entity1036 ) that required both flaps to be lifted for irrigation and cleaning on postoperative day 5. Fungal and bacterial cultures were negative in both eyes of both @entity1 . The condition resolved with intensive topical corticosteroids and fortified antibiotics. Regression of @entity2516 and the need for enhancement was encountered in all eyes. There was mild recurrence in one eye of each @entity1 with pretreatment with topical corticosteroids prior to enhancement. CONCLUSIONS: Endogenous factors such as @entity14985 and @entity409 may trigger inflammation resulting in sporadic cases of catarrhal infiltrates after LASIK. These @entity1 may have chronic inflammatory milieus that can trigger sporadic cases of catarrhal infiltrates after LASIK, with accompanying @entity1036 .
