Bilateral corneal epithelial macrocysts following hyperopic laser in situ keratomileusis
Autor: | Shady T. Awwad, Carole G. Cherfan, Mahmoud O Jaroudi |
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Rok vydání: | 2017 |
Předmět: |
Adult
medicine.medical_specialty Distance visual acuity Conjunctiva Visual acuity genetic structures medicine.medical_treatment Keratomileusis Laser In Situ Visual Acuity Bilateral hyperopia Keratomileusis Surgical Flaps 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Cysts business.industry LASIK LISSAMINE GREEN eye diseases Sensory Systems Surgery Ophthalmology Hyperopia medicine.anatomical_structure Ophthalmologic examination 030221 ophthalmology & optometry Female sense organs medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Journal of Cataract and Refractive Surgery. 43:1115-1116 |
ISSN: | 0886-3350 |
Popis: | A 27-year-old woman had microkeratome-assisted laser in situ keratomileusis (LASIK) for moderate bilateral hyperopia. The preoperative ophthalmologic examination was unremarkable except for minimal lissamine green staining bilaterally on the nasal conjunctiva. On the first postoperative day, the uncorrected distance visual acuity (UDVA) was 20/20 bilaterally and the corneas were clear. Four days later, the patient presented with mild blur in both eyes. Examination showed diffuse bilateral epithelial cysts encompassing the central 6.0 to 7.0 mm of the flaps with overlying diffuse lissamine green staining. The UDVA was 20/30 bilaterally. Aggressive lubrication was administered. The epithelial cysts coalesced into larger ones over subsequent visits and began regressing over several months, along with improvement in vision. At 6 months, the cysts had completely resolved, the corneas were clear, and the UDVA was 20/20. |
Databáze: | OpenAIRE |
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