Central toxic keratopathy after laser in situ keratomileusis
| Autor: | Gurjeet Jutley, Francesco Aiello, Dana Robaei, Vincenzo Maurino |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Distance visual acuity genetic structures medicine.medical_treatment Corneal Stroma Scheimpflug principle Keratomileusis Laser In Situ Visual Acuity Keratomileusis Refraction Ocular Surgical Flaps Postoperative Complications Settore MED/30 Anti-Allergic Agents medicine Myopia Humans Manifest refraction Retrospective Studies Keratitis Microscopy Confocal business.industry Loteprednol Etabonate Rare entity LASIK Corneal Topography eye diseases Sensory Systems Surgery Androstadienes Ophthalmology Hyperopia Lasers Excimer sense organs business |
| Zdroj: | Journal of cataract and refractive surgery. 40(12) |
| ISSN: | 1873-4502 |
| Popis: | Purpose To review cases of central toxic keratopathy (CTK) occurring over a period of 46 days. Setting Moorfields Eye Hospital, London, United Kingdom. Design Retrospective consecutive case series. Methods This was a review of patients with CTK after uneventful laser in situ keratomileusis (LASIK) performed by 1 of 5 surgeons at a single institute. The following parameters were analyzed: corrected distance visual acuity (CDVA), manifest refraction, and central corneal thickness from Scheimpflug pachymetry readings (Pentacam). Results The cohort consisted of 15 eyes of 9 patients. Thirteen eyes were diagnosed within 7 days after LASIK, while the remaining 2 eyes developed CTK 12 days postoperatively. In 10 eyes, the time to resolution was 1 to 8 months. Five eyes still had residual signs at the last outpatient visit. At the final follow-up, 3 eyes (20%) had a CDVA worse than 0.0 logMAR. Conclusions Although a rare entity, CTK can occur in clusters. Although a cause was not fully isolated, ultimately each eye achieved excellent CDVA (all better than 0.2 logMAR) at the last follow-up. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned. |
| Databáze: | OpenAIRE |
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