Treatment strategy for bilateral severe subepithelial fibrosis after photorefractive keratectomy enhancement

Treatment strategy for bilateral severe subepithelial fibrosis after photorefractive keratectomy enhancement

ABSTRACT A 27-year-old healthy man with a history of bilateral photorefractive keratectomy (PRK) enhancement after femtosecond laser in situ keratomileusis (LASIK) presented with decreased uncorrected distance visual acuity (UDVA) of 20/125 in the right eye (OD) and 20/300 in the left eye (OS) six months after PRK. Examination revealed bilateral dense subepithelial opacities. Both eyes (OU) were treated with superficial keratectomy combined with phototherapeutic keratectomy (PTK) and adjunctive application of mitomycin C 0.02%. At three months follow up UDVA was 20/30 OD and 20/25 OS. Superficial keratectomy combined with PTK seems to be a safe and efficient technique for treatment of dense subepithelial scar formation following PRK enhancement after LASIK.

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Main Authors: Pineda,Roberto, Veloso,Artur William, Zyl,Tavé van
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Oftalmologia 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000200143
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spelling oai:scielo:S0034-728020210002001432021-09-01Treatment strategy for bilateral severe subepithelial fibrosis after photorefractive keratectomy enhancementPineda,RobertoVeloso,Artur WilliamZyl,Tavé van Photorefractive keratectomy Laser in situ keratomileusis Mitomycin Wound healing Laser corneal surgery ABSTRACT A 27-year-old healthy man with a history of bilateral photorefractive keratectomy (PRK) enhancement after femtosecond laser in situ keratomileusis (LASIK) presented with decreased uncorrected distance visual acuity (UDVA) of 20/125 in the right eye (OD) and 20/300 in the left eye (OS) six months after PRK. Examination revealed bilateral dense subepithelial opacities. Both eyes (OU) were treated with superficial keratectomy combined with phototherapeutic keratectomy (PTK) and adjunctive application of mitomycin C 0.02%. At three months follow up UDVA was 20/30 OD and 20/25 OS. Superficial keratectomy combined with PTK seems to be a safe and efficient technique for treatment of dense subepithelial scar formation following PRK enhancement after LASIK.info:eu-repo/semantics/openAccessSociedade Brasileira de OftalmologiaRevista Brasileira de Oftalmologia v.80 n.2 20212021-04-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000200143en10.5935/0034-7280.20210027
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Pineda,Roberto
Veloso,Artur William
Zyl,Tavé van
spellingShingle Pineda,Roberto
Veloso,Artur William
Zyl,Tavé van
Treatment strategy for bilateral severe subepithelial fibrosis after photorefractive keratectomy enhancement
author_facet Pineda,Roberto
Veloso,Artur William
Zyl,Tavé van
author_sort Pineda,Roberto
title Treatment strategy for bilateral severe subepithelial fibrosis after photorefractive keratectomy enhancement
title_short Treatment strategy for bilateral severe subepithelial fibrosis after photorefractive keratectomy enhancement
title_full Treatment strategy for bilateral severe subepithelial fibrosis after photorefractive keratectomy enhancement
title_fullStr Treatment strategy for bilateral severe subepithelial fibrosis after photorefractive keratectomy enhancement
title_full_unstemmed Treatment strategy for bilateral severe subepithelial fibrosis after photorefractive keratectomy enhancement
title_sort treatment strategy for bilateral severe subepithelial fibrosis after photorefractive keratectomy enhancement
description ABSTRACT A 27-year-old healthy man with a history of bilateral photorefractive keratectomy (PRK) enhancement after femtosecond laser in situ keratomileusis (LASIK) presented with decreased uncorrected distance visual acuity (UDVA) of 20/125 in the right eye (OD) and 20/300 in the left eye (OS) six months after PRK. Examination revealed bilateral dense subepithelial opacities. Both eyes (OU) were treated with superficial keratectomy combined with phototherapeutic keratectomy (PTK) and adjunctive application of mitomycin C 0.02%. At three months follow up UDVA was 20/30 OD and 20/25 OS. Superficial keratectomy combined with PTK seems to be a safe and efficient technique for treatment of dense subepithelial scar formation following PRK enhancement after LASIK.
publisher Sociedade Brasileira de Oftalmologia
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000200143
work_keys_str_mv AT pinedaroberto treatmentstrategyforbilateralseveresubepithelialfibrosisafterphotorefractivekeratectomyenhancement
AT velosoarturwilliam treatmentstrategyforbilateralseveresubepithelialfibrosisafterphotorefractivekeratectomyenhancement
AT zyltavevan treatmentstrategyforbilateralseveresubepithelialfibrosisafterphotorefractivekeratectomyenhancement
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