Presumed Herpes simplex virus reactivation following LASIK mimicking diffuse lamellar keratitis

Abstract

We report a rare presentation of herpetic stromal keratitis reactivation in a 43-yearold patient who underwent LASIK previously and presented with complaints of photophobia, pain, and redness. On examination, mild congestion was noted with deep-seated, ring-like infiltrate under the LASIK flap with some amount of scarring that was initially confused with diffuse lamellar keratitis. A detailed repeated history led to diagnosing herpetic keratitis reactivation that with timely treatment of antivirals and steroids helped us to achieve a good anatomic and visual outcome for the patient.