Late corneal scarring after retinal detachment surgery 42 months after photorefractive keratectomy.
A 42-year-old man had uneventful bilateral nonsimultaneous photorefractive keratectomy (PRK) for severe myopia. Thirty-nine months after the procedure, the patient presented with a retinal detachment (RD) in the right eye. Cerclage, vitrectomy, endolaser, and intravitreal silicone oil tamponade were performed, and the RD was successfully repaired. Three months after vitrectomy and 42 months after PRK, the patient complained of visual impairment in the right eye and photophobia. On slitlamp examination, marked reticular scarring of the central anterior cornea was observed. The occurrence of late-onset corneal haze highlights the need for special attention to patients who have vitrectomy after PRK.
Tosi
Gian Marco
GM
Department of Ophthalmology and Neurosurgery, University of Siena, Siena, Italy. gmtosi@tin.it
Baiocchi
Stefano
S
Caporossi
Tomaso
T
D000328:Adult; D002921:Cicatrix / Q000175:diagnosis / Q000209:etiology*; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D017075:Laser Coagulation; D054018:Lasers, Excimer; D008297:Male; D009216:Myopia / Q000601:surgery; D018903:Photorefractive Keratectomy; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000601:surgery*; D012827:Silicone Oils / Q000627:therapeutic use; D014821:Vitrectomy
D012827:Silicone Oils