1. [Epithelial basement membrane dystrophy diagnosed following LASIK surgery].
- Author
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Ghouali W, Sandali O, Ameline B, Basli E, Goemaere I, Borderie V, and Laroche L
- Subjects
- Basement Membrane pathology, Disease Progression, Epithelium, Corneal pathology, Female, Humans, Middle Aged, Myopia surgery, Postoperative Complications diagnosis, Basement Membrane surgery, Cogan Syndrome diagnosis, Epithelium, Corneal surgery, Keratomileusis, Laser In Situ adverse effects
- Abstract
A 48-year-old woman with no significant past history underwent bilateral simultaneous laser in situ keratomileusis for correction of her myopia. On the tenth postoperative day, the patient complained of visual decrease and photophobia. Slit lamp exam showed corneal epithelial irregularities. Confocal microscopy was performed and revealed a characteristic appearance of epithelial basement membrane dystrophy (EBMD). The patient was successfully treated with artificial tears and autologous serum eyedrops. EBMD may be missed before LASIK surgery, even after a careful pre-operative examination. Exacerbation of EBMD after LASIK surgery is rare. It should be considered when unexplained corneal epithelial defects or irregularities occur following LASIK. Confocal microscopy is very useful to confirm the diagnosis., (Copyright © 2013 Elsevier Masson SAS. All rights reserved.)
- Published
- 2013
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