Diffuse lamella keratitis: diagnosis and treatment methods

Year 2019, , 126 - 135, 28.04.2019

Cüneyt Karaarslan

https://doi.org/10.26559/mersinsbd.513300

Abstract

Developing after refractive surgery, Diffuse Lamellar
Keratitis is a complication that appears as small gray-white corneal spots in
the periphery. It is mostly unilateral (one-eye) and distant to the visual
axis. If it goes unnoticed at initial stages, and if appropriate treatment is
not applied, it may cause severe visual impairment. Refractive surgery is
especially preferred by active and young population to be released of glasses
and lens dependence, and is becoming widely applied with each passing day. In
this paper, the purpose is to determine the early diagnosis and treatment
modalities for Diffuse Lamellar Keratitis, and to examine current approaches
for the prevention of permanent visual impairment, which may lead to
progressive and irreversible corneal and visual damage.

Keywords

Refractive Surgery, Diffus Lamellar Keratit, Permanent Corneal Necrosis, loss of vision

Diffüz lamellar kretatit: Tanı ve tedavi yöntemleri

Abstract

Refraktif
cerrahi sonrası gelişen diffüz lameller keratit, çoğunlukla unilateral (tek
gözde), görme ekseninden uzak, periferal yerleşimli küçük gri-beyaz korneal
noktacıklar şeklinde ortaya çıkan bir komplikasyon tablosudur. Başlangıç
evrelerde farkına varılmaz ve uygun tedavi ile önlem alınmazsa, ileride ciddi
görme kaybına neden olabilmektedir. Özellikle aktif ve genç nüfusun, gözlük ve
lens bağımlılığından kurtulmak için tercih ettiği refraktif cerrahi gün
geçtikçe daha yoğun bir şekilde uygulanmaktadır. Bu yazıda; ilerleyici ve geri
dönüşümsüz kornea ve görme hasarına neden olabilecek, diffüz lameller
keratitin, erken tanısı ve tedavisi ile ileride gelişebilecek kalıcı görme
kaybının önlenmesi için güncel yaklaşımların ortaya konulması amaçlanmıştır.

Keywords

Refraktif Cerrahi, Diffüz Lameller Keratit, Korneanın Kalıcı Nekrozu

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