title: [Epithelial basement membrane dystrophy diagnosed following LASIK surgery].
abstract: A 48-year-old woman with no significant past history underwent bilateral simultaneous laser in situ keratomileusis for correction of her myopia. On the tenth postoperative day, the patient complained of visual decrease and photophobia. Slit lamp exam showed corneal epithelial irregularities. Confocal microscopy was performed and revealed a characteristic appearance of epithelial basement membrane dystrophy (EBMD). The patient was successfully treated with artificial tears and autologous serum eyedrops. EBMD may be missed before LASIK surgery, even after a careful pre-operative examination. Exacerbation of EBMD after LASIK surgery is rare. It should be considered when unexplained corneal epithelial defects or irregularities occur following LASIK. Confocal microscopy is very useful to confirm the diagnosis.
authors.affiliation: Centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75571 Paris, France. Electronic address: w.ghouali@yahoo.fr.
authors.forename: W
authors.initials: W
authors.lastname: Ghouali
authors.forename: O
authors.initials: O
authors.lastname: Sandali
authors.forename: B
authors.initials: B
authors.lastname: Ameline
authors.forename: E
authors.initials: E
authors.lastname: Basli
authors.forename: I
authors.initials: I
authors.lastname: Goemaere
authors.forename: V
authors.initials: V
authors.lastname: Borderie
authors.forename: L
authors.initials: L
authors.lastname: Laroche
mesh_terms: D001485:Basement Membrane / Q000473:pathology / Q000601:surgery*; D055952:Cogan Syndrome / Q000175:diagnosis*; D018450:Disease Progression; D019573:Epithelium, Corneal / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008875:Middle Aged; D009216:Myopia / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis
keywords: Chirurgie réfractive; Confocal microscopy; Dystrophie de Cogan; Epithelial basement membrane dystrophy; LASIK; Lasik; Microscopie confocale; Refractive surgery