Clearing the Haze: Navigating Corneal Refractive Surgery in Patients with Posterior Polymorphous Corneal Dystrophy
| Autor: | Alyson N. Tukan, Majid Moshirfar, Nour Bundogji |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
genetic structures PRK medicine.medical_treatment Keratomileusis LASIK 01 natural sciences 03 medical and health sciences 0302 clinical medicine Ophthalmology Refractive surgery PPMD medicine Endothelial cell density Small incision lenticule extraction 0101 mathematics SMILE PPCD Corneal Decompensation business.industry 010102 general mathematics eye diseases Photorefractive keratectomy Corneal Disorder Posterior polymorphous corneal dystrophy Commentary Ectasia 030221 ophthalmology & optometry sense organs business |
| Zdroj: | Ophthalmology and Therapy |
| ISSN: | 2193-6528 2193-8245 |
| DOI: | 10.1007/s40123-021-00364-z |
| Popis: | Posterior polymorphous corneal dystrophy (PPCD) is a corneal disorder of the endothelium and Descemet’s membrane. Although reports of corneal refractive surgery including laser-assisted in situ keratomileusis (LASIK), photorefractive keratectomy (PRK), and small incision lenticule extraction (SMILE) in PPCD are minimal, these procedures have been shown to be safe and effective in this patient population. Proceeding with corneal refractive surgery in eyes with PPCD raises concerns regarding corneal integrity, including long-term biomechanical instability, risk of ectasia, endothelial cell loss, disease progression, and corneal decompensation. Thus, LASIK, PRK, and SMILE should be considered with caution. This commentary explores the patient characteristics associated with favorable surgical outcomes and factors that weigh against proceeding with refractive surgery. |
| Databáze: | OpenAIRE |
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