<H4>PURPOSE</H4>
<P>To report a patient with severe and progressive bilateral deafness who
suffered recurrent episodes of diffuse lamellar keratitis (DLK) in both eyes
≥4 months after undergoing uneventful LASIK for myopia.</P>
<H4>METHODS</H4>
<P>Four months after LASIK, the patient presented with blurred vision in the
left eye. Best spectacle-corrected visual acuity was 0.9. Slit-lamp examination
revealed aggregates of white cells at the paracentral and mid-peripheral
interface without affecting the visual axis. Diffuse lamellar keratitis stage
II was diagnosed and intensive corticosteroid treatment was started.
Uncorrected visual acuity (UCVA) in the right eye was 1.2 with no signs of
DLK.</P>
<H4>RESULTS</H4>
<P>One week after initiating corticosteroid treatment, UCVA improved (1.2) in
the left eye. Diffuse lamellar keratitis was diagnosed in the left eye again at
9 months and in the right eye at 15 months after LASIK. The patient was later
diagnosed with atypical Cogan’s syndrome.</P>
<H4>CONCLUSIONS</H4>
<P>Recurrent and late-onset DLK may be due to other patient systemic conditions
predisposing to interstitial keratitis, such as Cogan’s syndrome. [<CITE>J
Refract Surg.</CITE> 2008;24:548-550.]</P>
<H4>ABOUT THE AUTHORS</H4>
<P>From the Department of Cornea and Refractive Surgery, VISSUM, Instituto
Oftalmológico de Alicante, Miguel Hernández University School of
Medicine, Alicante, Spain (Javaloy, Muñoz, Pérez-Santonja, Vidal,
Alió); and Otorhino-Laringology Department, Fundación Hospital de
Torrevieja, Torrevieja, Spain (Barrera).</P>
<P>The authors have no proprietary interest in the materials presented
herein.</P>
<P>Correspondence: Jaime Javaloy, MD, PhD, Instituto Oftalmológico de
Alicante, Avda Denia, sn. Edificio VISSUM, Alicante, Spain. Tel: 34 965 150
025; E-mail: <A HREF="mailto:jjavaloy@coma.es">jjavaloy@coma.es</A>;
<A HREF="mailto:rdioa@vissum.com">rdioa@vissum.com</A></P>
<P>Received: June 13, 2007</P>
<P>Accepted: November 7, 2007</P>
<P><B>Posted online: January 31, 2008</B></P>
