title: Endothelial decompensation after laser in situ keratomileusis.
abstract: 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.
authors.affiliation: Magill Research Center for Vision Correction, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina 29425, USA. vrocornea@hotmail.com
authors.forename: David T
authors.initials: DT
authors.lastname: Vroman
authors.forename: Kerry D
authors.initials: KD
authors.lastname: Solomon
authors.forename: Mike P
authors.initials: MP
authors.lastname: Holzer
authors.forename: Qun
authors.initials: Q
authors.lastname: Peng
authors.forename: David J
authors.initials: DJ
authors.lastname: Apple
authors.forename: Esther M
authors.initials: EM
authors.lastname: Bowie
mesh_terms: 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