Late Onset Lamellar Keratitis and Epithelial Ingrowth Following Orbital Cellulitis

PURPOSE: To report a case of late onset lamellar keratitis and epithelial ingrowth associated with orbital cellulitis 1 month after LASIK surgery. METHODS: A 19-year-old patient presented with pain and subsequent blurry vision in the right eye. One month prior to presentation, he had undergone LASIK in both eyes. Orbital cellulitis was suspected. RESULTS: Under aggressive treatment, the patient recovered from orbital cellulitis and lamellar keratitis and he also regained his vision with topical steroid treatment. CONCLUSIONS: Lamellar keratitis does not always occur early following LASIK and may be associated with orbital cellulitis.