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Beitragstitel | Peripheral sterile corneal ring infiltrate after accelerated cross-linking- a case report |
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Beitragscode | P12 |
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Präsentationsform | ePoster |
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Abstract-Text |
Sterile corneal infiltrates have been described in case reports after accelerated collagen cross-linking in keratokonus. This case describes a 30 year-old male patient, who developed a circular, almost 360 degree, peripheral sterile corneal ring infiltrate at first postoperative day. He underwent epithelium off accelerated cross-linking due to progression of keratokonus. After establishing an anti-inflammatory therapy with steroid eye drops the infiltrate healed over three weeks without scar formation. The development of a sterile infiltrate is a rare complication after accelerated collagen cross-linking. However, it is reported to be more common than infectious keratitis. This suggests the consideration of a prophylactic immunosuppressive therapy with steroid eye drops postoperatively in addition to the prophylactic antibiotic therapy. Physician should be aware of this rare complication and begin topical steroid therapy immediately even without full epithelial healing. It is also important to differentiate from infectious keratitis. The immediate treatment would prevent further complications such as scar formation or excessive corneal melting. |