Corneal Opacity Caused by LASEK with Improper High-concentrated Mitomycin-C. |
Su Jin Kim, Min Ho Lee, Eun Hee Kim, Jong Soo Lee |
1Department of ophthalmology, College of Medicine, Pusan National University, Pusan, Korea. Jongsool@pusan.ac.kr 2Department of ophthalmology, College of Medicine, Pusan St. Mary's Medical Center, Pusan, Korea. |
라섹 술중 잘못 사용된 고농도 마이토마이신 C에 의한 각막혼탁 |
김수진1ㆍ이민호1ㆍ김은희2ㆍ이종수1 |
Department of ophthalmology, College of Medicine, Pusan National University1, Pusan, Korea / Pusan St. Mary’s Medical Center2, Pusan, Korea |
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Abstract |
PURPOSE To report a case of corneal opacity with postoperative changes of topographic features and visual acuity after laser subepithelial keratomileusis (LASEK) treated with an improper concentration of mitomycin-C. CASE SUMMARY: A 25-year-old female patient who experienced corneal opacity after LASEK treated with mitomycin-C was evaluated for changes in corneal opacity by photography, central corneal power by Orb scan uz, and best corrected visual acuity (BCVA) over the period of 1 year. The corneal epithelial defect was completely healed 2 weeks after the LASEK operation. Subepithelial and stromal opacity decreased over time, but her cornea did not return to normal. BCVA was 20/25 in the right eye and 20/20 in the left eye at postoperative 1 year, but stromal opacity remained. CONCLUSIONS: An improper concentration of mitomycin-C during LASEK could result in corneal opacity. Long time is needed to recover visual acuity and a normal corneal structure. |
Key Words:
Corneal opacity;LASEK;Mitomycin-C |
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