Post LASIK interface keratitis or plum was first reported by Rajesh Khanna, MD in the journal of cataract and refractive survey in thee previous century. It is a form of TASS. The term DLK was coined by dr. Maloney and means diffuse lamellar keratitis. Today this syndrome is rare thanks to the groundbreaking research of Dr. Kaufman from University of Cincinnati. Yes our Beverly hills LASIK expert dr. Khanna was part of that research team.
PLIK or DLK presents in the first few days after LASIK as a sever reaction under the flap. Usually more common in younger patients, it can lead to pain, irritation, redness and decreased vision. The therapy is topical steroids and oral steroids. Depending on the severity the LASIK surgeon may lift the flap and wash the interface.
Prevention is better than cure. Hence our Los Angeles LASIK center is very careful in cleaning the instrument in between cases. We prevent the buildup of endotoxins in the sterilizer by frequently draining it. Instruments are properly washed and no detergents is left on them. The LASIK suite has uv and heap filters to decrease risk of contaminant. Also patients and staff are advised not to wear any perfume, apply any rogaine or other inciting cream. No one is allowed to eat popcorn, no pinesol or strong detergents can be used near the laser.using these careful measures makes LASIK safer.