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We read with great interest the article by Marí Cotino and associates1 about an epidemic of central toxic keratopathy (CTK) that occurred after laser in situ keratomileusis (LASIK), presumably caused by the change of the brand of the surgical gloves. Although its aetiology is unknown, CTK has common features with grade IV diffuse lamellar keratitis, but it is widely accepted that it represents a separate clinical entity. It has received other names in the literature, such as ‘central flap necrosis’.
Marí Cotino et al1 state in their article that CTK does not have a specific treatment and that the clinician must …