title: Outcome of LASIK in fleck corneal dystrophy.
abstract: OBJECTIVE
  To report the outcome of laser in situ keratomileusis (LASIK) in a patient with Fleck corneal dystrophy.
  
  
  METHODS
  Case report and literature review.
  
  
  RESULTS
  A 48-year-old Taiwanese man presented in November 2005, 6 years after bilateral myopic LASIK. He complained of loss of uncorrected distance visual acuity that was worse in the left eye. The patient did not report glare, halos, or other visual aberrations. Preoperative best spectacle-corrected visual acuity (BSCVA) was 20/25 OU, with a manifest refraction of -14 D OU. In November 2005, uncorrected visual acuity (UCVA) was 20/40 OD and 20/50 OS, and BSCVA was 20/25 in each eye with a manifest refraction of -1.00 sphere OD and -1.75 -1.25 x 115 OS. Slit-lamp examination was remarkable for several subtle, small, gray corneal opacities present throughout the corneal stroma. Confocal microscopy revealed refractile bodies within swollen keratocytes and normal surrounding stromal mileu. The clinical and confocal appearance was consistent with Fleck corneal dystrophy.
  
  
  CONCLUSIONS
  In this patient with Fleck corneal dystrophy, corneal clarity and BSCVA were maintained 6 years after bilateral myopic LASIK, suggesting that LASIK does not stimulate visually significant exacerbation of Fleck corneal dystrophy.
authors.affiliation: Department of Ophthalmology, Emory University, Atlanta, GA, USA.
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Banning
authors.forename: Paul M
authors.initials: PM
authors.lastname: Larson
authors.forename: J Bradley
authors.initials: JB
authors.lastname: Randleman
mesh_terms: D003317:Corneal Dystrophies, Hereditary / Q000150:complications / Q000601:surgery*; D003319:Corneal Stroma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology