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Published on: September 17, 2014
Photorefractive keratectomy in a patient with epithelial basement membrane dystrophy
George D Kymionis1, Vasillios F Diakonis, Dimitrios I Bouzoukis
1Institute of Vision and Optics, University of Crete, Greece. kymionis@md.uoc.gr
Purpose:
To report a case of excimer laser photorefractive keratectomy (PRK) in a patient with epithelial basement membrane dystrophy (EBMD).
Methods:
Interventional case report.
Results:
A 36-year-old male with clinical manifestations of EBMD underwent bilateral, simultaneous PRK for low myopia correction. A delay (up to 17 days) in the epithelial healing process with unstable epithelium was observed. During the first three postoperative months a visually significant subepithelial haze was developed in both eyes. One year postoperative, an improvement in haze formation and visual acuity in both eyes was found.
Conclusions:
PRK in patients with EBMD could result in favorable refractive and clinical outcome.
