A Case of Acute Central Stromal Melting after LASIK
Journal of the Korean Ophthalmological Society
; : 3516-3520, 1999.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-84576
Responsible library:
WPRO
ABSTRACT
LASIK is an effective and exact procedure to correct myopic refractive error but fatal complication may be happened during making corneal flap using microkeratome. We report a patient who developed acute central stomal melting following LASIK on postoperative day 4. This complication was treated by lifting the flap and scraping the interface of corneal flap & central stroma with a metal blade. After 4 months, overcorrected hyperopic refractive error was retreated with excimer laser ablation and patient recovered successful visual acuity. The pathogenesis of this case is not completely understood. Corneal endothelium and central cornea stroma may be mechanically damaged due to excessive suction ring application during LASIK procedure. Interface epithelial ingrowth may be associated with early postoperative inflammation and infection of corneal flap may produce proteinase which melts corneal flap. If corneal flap melting happens after LASIK procedure, early surgical debridement of melting stroma and proper reattachment of the flap may be needed.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Refractive Errors
/
Suction
/
Endothelium, Corneal
/
Visual Acuity
/
Lifting
/
Cornea
/
Keratomileusis, Laser In Situ
/
Debridement
/
Lasers, Excimer
/
Freezing
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
1999
Document type:
Article