Idiopathic stromal keratitis resembling central XXXX .

@entity1 @entity227 @entity137 @entity267 @entity2687
A 28-year-old previously emmetropic @entity1 presented with a 2-day history of @entity227 . She had no history of corneal surgery or contact lens use. Snellen uncorrected distance visual acuity (UDVA) was 6/12 bilaterally. Bilateral anterior stromal infiltration of the central @entity267 was seen, with no overlying epithelial defect and intact sensation. There was a marked hyperopic shift, central @entity2687 , and associated keratometric flattening. The @entity1 was started on topical corticosteroids. Over 12 weeks, the UDVA returned to 6/5 with emmetropization of the refractive status and thickening of the central @entity267 . The clinical findings in our @entity1 resemble those of central @entity137 (CTK) in post-refractive-surgery cases, suggesting a similar mechanism. To our knowledge, this is the first report of a @entity1 presenting with @entity137 in the absence of previous keratorefractive surgery or contact lens use. The pathophysiology of this condition remains elusive and requires further investigation. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
