Diffuse lamellar keratitis associated with carboxymethylcellulose sodium 1% after laser in situ keratomileusis

Michael A. Samuel, Stephen C. Kaufman, Jason A. Ahee, Curtis Wee, David Bogorad

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Purpose: To investigate the association between the use of carboxymethylcellulose sodium 1% (Celluvisc®) (Allergan, Inc.) during laser in situ keratomileusis (LASIK) and the development of diffuse lamellar keratitis (DLK). Setting: Outpatient surgery center, Detroit, Michigan, USA. Methods: In this retrospective case series, the postoperative clinical course and surgical outcomes in 30 eyes of 15 consecutive patients who had LASIK with the use of Celluvisc were reviewed. All patients had primary LASIK, and the incidence and severity of DLK were analyzed. Results: Diffuse lamellar keratitis developed in 24 of the 30 eyes (80.0%) in which Celluvisc was used before the keratectomy (P = < .0001, Fischer exact test). Sixteen eyes (66.7%) had stage 1, and 8 (33.3%) had stage 2. Diffuse lamellar keratitis was diagnosed in most cases (91.6%) on postoperative day 1. All inflammation resolved after treatment with intense topical corticosteroids. Conclusions: Celluvisc used immediately before the keratectomy in LASIK was highly associated with the development of DLK.

Original languageEnglish (US)
Pages (from-to)1409-1411
Number of pages3
JournalJournal of Cataract and Refractive Surgery
Volume28
Issue number8
DOIs
StatePublished - Dec 1 2002
Externally publishedYes

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Laser In Situ Keratomileusis
Carboxymethylcellulose Sodium
Keratitis
Ambulatory Surgical Procedures
Adrenal Cortex Hormones
Inflammation
Incidence

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

Cite this

Diffuse lamellar keratitis associated with carboxymethylcellulose sodium 1% after laser in situ keratomileusis. / Samuel, Michael A.; Kaufman, Stephen C.; Ahee, Jason A.; Wee, Curtis; Bogorad, David.

In: Journal of Cataract and Refractive Surgery, Vol. 28, No. 8, 01.12.2002, p. 1409-1411.

Research output: Contribution to journalArticle

Samuel, Michael A. ; Kaufman, Stephen C. ; Ahee, Jason A. ; Wee, Curtis ; Bogorad, David. / Diffuse lamellar keratitis associated with carboxymethylcellulose sodium 1% after laser in situ keratomileusis. In: Journal of Cataract and Refractive Surgery. 2002 ; Vol. 28, No. 8. pp. 1409-1411.
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