Corneal decompensation after laser in situ keratomileusis in fuchs' endothelial dystrophy.
OBJECTIVE
To report corneal decompensation after laser in situ keratomileusis (LASIK) in a patient with Fuchs' endothelial dystrophy.


METHODS
Observational case report.


RESULTS
A 47-year-old woman with cornea guttata without symptoms or findings of corneal edema had uneventful LASIK for -5.50 -0.50 x 150 in the right eye and -4.00 -1.25 x 170 in the left eye. Postoperatively, she developed corneal edema, with significant loss of best-corrected visual acuity in both eyes. Preoperative corneal thickness was 587 microm in the right eye and 549 microm in the left eye, measured by ultrasound pachymetry. These readings were 550 and 560 microm on day 67 postoperatively. Endothelial cell counts showed means of 1209 and 1661 cells/mm2 in the right and left eyes, respectively.


CONCLUSIONS
Caution is suggested when considering LASIK in eyes with severe cornea guttata.
Dastjerdi
Mohammad H
MH
Department of Opthalmology, W K Kellog Eye Center, University of Michigan, Ann Arbor, Michigan 48105, USA. mdastjer@umich.edu
Sugar
Alan
A
D002452:Cell Count; D003315:Cornea / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery*; D015715:Corneal Edema / Q000209:etiology / Q000503:physiopathology; D004728:Endothelium, Corneal / Q000473:pathology; D005260:Female; D005642:Fuchs' Endothelial Dystrophy / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery*; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008875:Middle Aged; D014463:Ultrasonography; D014786:Vision Disorders / Q000209:etiology / Q000503:physiopathology; D014792:Visual Acuity