ABSTRACT
Objetivo: Describir el tratamiento a largo plazo de macroestrías en el flap tras laser in situ keratomileusis (LASIK) mediante queratectomía fototerapéutica transepitelial (PTK), a propósito de un caso clínico. Método: Presentamos el caso de un varón de 22 años que presenta macroestrías crónicas en el flap con pérdida de visión en un ojo al que se realiza un tratamiento mediante PTK transepitelial. Resultados: Las estrías y el haze se resuelven completamente con una importante mejoría de la agudeza visual mejor corregida pero con una refracción en el tercer mes de +9,75-4,00×170°. Un año después se implanta una lente fáquica con una agudeza visual final sin corrección de 0,8. Conclusiones: La PTK transepitelial puede resolver las estrías crónicas del flap pero con resultados refractivos variables(AU)
Objective: To describe the use of transepithelial phototherapeutic keratecomy for the long-term treatment of post-laser in situ keratomileusis (LASIK) flap macrostriae. Method: We present the case of a 22 year old male with visual loss in the left eye due to chronic flap macrostriae that was treated with transepithelial PTK. Results: Striae and haze were no longer visible, with a significant improvement of best corrected visual acuity. Refraction in the third month was +9.75-4.00×170°. A phakic intraocular lens was implanted one year later with an uncorrected visual acuity of 0.8. Conclusions: PTK can solve chronic flap striae, but refraction outcome is unpredictable(AU)
Subject(s)
Humans , Male , Young Adult , Keratomileusis, Laser In Situ/methods , Keratectomy, Subepithelial, Laser-Assisted/methods , Angioid Streaks/surgery , Visual AcuityABSTRACT
OBJECTIVE: To describe the use of transepithelial phototherapeutic keratecomy for the long-term treatment of post-laser in situ keratomileusis (LASIK) flap macrostriae. METHOD: We present the case of a 22 year old male with visual loss in the left eye due to chronic flap macrostriae that was treated with transepithelial PTK. RESULTS: Striae and haze were no longer visible, with a significant improvement of best corrected visual acuity. Refraction in the third month was +9.75-4.00×170°. A phakic intraocular lens was implanted one year later with an uncorrected visual acuity of 0.8. CONCLUSIONS: PTK can solve chronic flap striae, but refraction outcome is unpredictable.
