Author/Authors :
Medghalchi, Abdolreza Department of Ophthalmology - Amiralmomenin Hospital - Guilan University of Medical Sciences , Soltani Moghadam, Reza Department of Ophthalmology - Amiralmomenin Hospital - Guilan University of Medical Sciences , Rahimi, Firoozeh Eye Research Center - Farabi Eye Hospital - Tehran University of Medical Sciences , Aghsaei Fard, Masoud Eye Research Center - Farabi Eye Hospital - Tehran University of Medical Sciences , Esfandiarpour, Bahareh Resident in Pediatrics - Guilan University of Medical Sciences
Abstract :
Purpose: To report a case of bilateral dense ring-shaped marginal keratitis after photorefractive
Keratectomy (PRK)
Case report: A 44-year-old man developed bilateral dense ring-shaped marginal keratitis after PRK.
The patient had moderate to severe meibomian gland dysfunction preoperatively that was treated
incompletely. He was treated with mild topical antibiotics, topical and systemic steroids and
systemic doxycycline. The condition was controlled with faint peripheral scarring.
Conclusion: This case suggests the role of blepharitis and meibomian gland dysfunction in
producing marginal keratitis after excimer laser for which complete preoperative treatment is
recommended.
