Trauma after radial keratotomy and photorefractive keratectomy.
A 25-year-old man sustained bilateral ocular trauma from an explosion, which resulted in ocular injuries from the blast, mineral projections, and heat. Before the accident, the patient had eight-incision radial keratotomy in the left eye followed 1 week later by photorefractive keratectomy in the right eye. After the accident, the left cornea had a full-thickness rupture of four incisions; the fellow cornea had a full-thickness laceration from a mineral projection. Five months after the accident, the left eye had an uncorrected visual acuity of 20/25; the right eye did not achieve an acuity of 20/200 until 20 months after the accident.
Schmitt-Bernard
C F
CF
Service d'Ophtalmologie, Hôpital Gui de Chauliac, Montpellier, France.
Villain
M
M
Beaufrere
L
L
Arnaud
B
B
D000328:Adult; D001753:Blast Injuries / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D002387:Cataract Extraction; D003228:Conjunctiva / Q000293:injuries; D003315:Cornea / Q000601:surgery; D065306:Corneal Injuries; D015807:Eye Injuries, Penetrating / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007646:Keratotomy, Radial; D054018:Lasers, Excimer; D007908:Lens, Crystalline / Q000293:injuries; D007910:Lenses, Intraocular; D008297:Male; D009216:Myopia / Q000601:surgery; D018903:Photorefractive Keratectomy; D012421:Rupture; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology