Photorefractive keratectomy in a patient with epithelial basement membrane dystrophy.
OBJECTIVE
To report a case of excimer laser photorefractive keratectomy (PRK) in a patient with epithelial basement membrane dystrophy (EBMD).


METHODS
Interventional case report.


RESULTS
A 36-year-old male with clinical manifestations of EBMD underwent bilateral, simultaneous PRK for low myopia correction. A delay (up to 17 days) in the epithelial healing process with unstable epithelium was observed. During the first three postoperative months a visually significant subepithelial haze was developed in both eyes. One year postoperative, an improvement in haze formation and visual acuity in both eyes was found.


CONCLUSIONS
PRK in patients with EBMD could result in favorable refractive and clinical outcome.
Kymionis
George D
GD
Institute of Vision and Optics, University of Crete, Greece. kymionis@md.uoc.gr
Diakonis
Vasillios F
VF
Bouzoukis
Dimitrios I
DI
Yoo
Sonia H
SH
Pallikaris
Ioannis G
IG
D000328:Adult; D003317:Corneal Dystrophies, Hereditary / Q000473:pathology / Q000601:surgery*; D019573:Epithelium, Corneal / Q000000981:diagnostic imaging / Q000473:pathology*; D005500:Follow-Up Studies; D006801:Humans; D054018:Lasers, Excimer; D008297:Male; D018903:Photorefractive Keratectomy / Q000379:methods*; D014463:Ultrasonography; D014792:Visual Acuity