Corneal melting associated with topical diclofenac use after laser-assisted sublepithelial keratectomy

被引：13
|
作者：
Zanini, Maurizio [1 ]
Savini, Giacomo [1 ]
Barboni, Piero [1 ]
机构：
[1] Ctr Salus, I-40131 Bologna, Italy
来源：
JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 2006年 / 32卷 / 09期
关键词：
D O I：
10.1016/j.jcrs.2006.03.042
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
We report a case of corneal melting associated with topically applied preservative-free diclofenac (Voltaren Ofta) after laser-assisted subepithelial keratectomy. Keratolysis was detected on day 5; further progression toward perforation was arrested by immediate suspension of diclofenac and prescription of topical dexamethasone with 24-hour patching. At the last follow-up, the visual acuity had improved from counting fingers to 20/20. Preservative-free diclofenac instillation had never been associated with keratolysis. Topical steroids may be useful in treating corneal melting associated with nonsteroidal antiinflammatory drugs.
引用
收藏
页码：1570 / 1572
页数：3
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