refractive surgical problem
The history suggests that DLK occurred in the early postoperative period and resulted in scarring. Diffuse lamellar keratitis frequently occurs in eyes with epithelial defects. Perhaps the DLK was not diagnosed or treated aggressively enough for fear of delayed epithelial healing.
As scars caused by DLK resolve slowly (2 or more years), 1 option would be to wait and place the patient on steroids (eg, fluorometholone) for a couple of months. I would also discuss the surgical option of penetrating corneal graft, especially in the right eye as it has corneal thinning and a posterior keratoconus.© 2001 by Lippincott Williams & Wilkins, Inc.