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Updated: Jun 29, 2026
05:46
Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile
Published on: September 20, 2024
[Posterior polymorphous dystrophy and LASIK]
Archivos De La Sociedad Espanola De Oftalmologia
|October 16, 2008
Summary
Refractive surgery is not recommended for patients with posterior polymorphous dystrophy (PPD). Low endothelial cell density in PPD patients may lead to corneal decompensation after laser vision correction.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Ocular Surface Disease
Background:
- Patient presented for refractive surgery consultation.
- Clinical examination revealed findings suggestive of posterior polymorphous dystrophy (PPD).
Observation:
- Vesicle and band-like lesions were observed at Descemet's membrane and the endothelium.
- Endothelial cell density was lower than normal.
Findings:
- The observed lesions and low cell count are indicative of PPD.
- Specular microscopy is crucial for diagnosis, even without apparent corneal decompensation.
Implications:
- Posterior polymorphous dystrophy can be a contraindication for refractive surgery.
- Reduced endothelial cell count in PPD patients increases the risk of corneal decompensation following laser vision correction procedures like LASIK.
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