Endothelial decompensation after laser in situ keratomileusis.
We report the results of laser in situ keratomileusis (LASIK) in a 58-year-old woman with a history of corneal guttata in the right eye and mild Fuchs' dystrophy in the left eye. Preoperative pachymetry was 586 microm and 656 microm, respectively. The surgical treatment was +1.50 diopters (D) in the right eye and +3.25 D in the left eye. Surgery was performed using a VISX S2 Star laser and a Hansatome microkeratome with a 9.5 mm ring. Postoperatively, edema in the right eye resolved and pachymetry returned to 585 microm, but the left cornea decompensated despite maximum medical therapy and had a final pachymetry of 779 microm. The patient was referred to our cornea service for penetrating keratoplasty, which was performed 14 months after the LASIK treatment.
Vroman
David T
DT
Magill Research Center for Vision Correction, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina 29425, USA. vrocornea@hotmail.com
Solomon
Kerry D
KD
Holzer
Mike P
MP
Peng
Qun
Q
Apple
David J
DJ
Bowie
Esther M
EM
D003316:Corneal Diseases / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery; D004728:Endothelium, Corneal / Q000473:pathology / Q000503:physiopathology*; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D015948:Keratoplasty, Penetrating; D008875:Middle Aged; D012086:Reoperation; D014792:Visual Acuity