| Trulytelling@yahoo.com 2006-05-10, 1:29 am |
| J Cataract Refract Surg. 2005 Aug;31(:1656-8.
Toxic keratopathy-related corneal dehydration after laser in situ
keratomileusis.
Lim GC, Lin HC, Shen SC, Lin KK.
Department of Ophthalmology, Chang Gung Memorial Hospital, Taoyuan,
Taiwan.
A 33-year-old woman had progressive blurred vision 2 weeks after
uneventful laser in situ keratomileusis surgery. Initial satisfactory
uncorrected visual acuity (UCVA) was complicated by postoperative dry
eye and drug toxicity. Slitlamp biomicroscopy revealed diffuse punctate
epithelial keratitis and inferior corneal epithelial defect with
rolled-up epithelium on the flaps and the inferior unoperated cornea in
both eyes. Diffuse inflammatory cell infiltrates were evident in the
stroma. Stromal thinning was evident on serial Orbscan (Bausch & Lomb)
and pachymetry examinations, and a hyperopic shift of almost +6
diopters was observed in the refractive error in both eyes. These
examinations showed a gradual recovery of stromal thickness after
copious hydration with balanced salt solution. The UCVA was 1.0 in both
eyes after corneal rehydration.
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