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Dry eye after photorefractive keratectomy with adjuvant mitomycin C
George D Kymionis1, Nikolaos S Tsiklis, Harilaos Ginis
1Department of Ophthalmology, Institute of Vision and Optics, University of Crete, Heraklion, Greece. kymionis@med.uoc.gr
Purpose:
To report a patient with dry eye after bilateral photorefractive keratectomy (PRK) with mitomycin C treatment in one eye.
Methods:
A 29-year-old woman underwent PRK for moderate myopia. The left eye was randomly assigned and intraoperative topical mitomycin C was administered. The right (control) eye was treated with intraoperative corticosteroid only.
Results:
The patient developed dry eye symptoms and superficial punctuate keratopathy in the eye treated with mitomycin C. Fifteen months after surgery no improvement was noted.
Conclusions:
Photorefractive keratectomy with mitomycin C treatment could induce or exacerbate dry eye.