Photorefractive keratectomy in megalophthalmos anterior.
OBJECTIVE
To evaluate the results of photorefractive keratectomy (PRK) for the correction of myopia and myopic astigmatism in megalophthalmos anterior.


METHODS
Four eyes of two brothers with megalophthalmos anterior were treated with PRK. In patient 1, best spectacle-corrected visual acuity (BSCVA) was 20/20 in both eyes with a refraction of -4.50 -4.50 x 180 degrees in the right eye and -3.75 -3.00 x 175 degrees in the left eye. In patient 2, BSCVA was 20/25 in both eyes with a refraction of -4.25 x 166 degrees in the right eye and +0.50 -4.00 x 175 degrees in the left eye.


RESULTS
Topographic map, slit-lamp, ultrasound biomicroscopy, and postoperative course (no progression), supported with vectorial analysis, demonstrated megalophthalmos anterior. During 24-month follow-up, mild haze was observed and BSCVA was maintained.


CONCLUSIONS
Myopia and astigmatism are often observed in this type of nonprogressive corneal dysgenesis. Based on this fact and our results, we recommend PRK in cases of megalophthalmos anterior.
Gallyas
Eva
E
KLIN Ophthalmologic Ltd, Korányi fasor 10-11, 6701 Szeged, Hungary. gallyas@opht.szote.u-szeged.hu
Hidasi
Vanda
V
Ferincz
István
I
Kolozsvári
Lajos
L
D000328:Adult; D001251:Astigmatism / Q000150:complications / Q000601:surgery*; D003315:Cornea / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D019781:Corneal Topography; D005124:Eye Abnormalities / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D054018:Lasers, Excimer; D008297:Male; D009216:Myopia / Q000000981:diagnostic imaging / Q000601:surgery*; D018903:Photorefractive Keratectomy / Q000379:methods*; D014463:Ultrasonography; D014792:Visual Acuity