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Epithelial inclusion cysts after radial keratotomy
A Aguirre Vila-Coro1, S Bonafonte, J N Fernandez del Cotero
1University of Texas Health Sciences Center, Hermann Eye Center, Houston 77030-1697.
Summary
Bilateral radial keratotomy can lead to epithelial inclusion cysts, a rare complication. Metal blades used for corneal incisions may contribute to cyst formation after this refractive surgery.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Ophthalmic Pathology
Background:
- Radial keratotomy is a refractive surgical procedure to correct myopia.
- Epithelial inclusion cysts are a known, albeit uncommon, postoperative complication following corneal surgery.
Observation:
- Two patients developed epithelial inclusion cysts after undergoing bilateral radial keratotomy.
- The corneal incisions in both patients were created using metal blades.
Findings:
- A potential association between the use of metal blades for corneal incisions and the development of epithelial inclusion cysts post-radial keratotomy is suggested.
- This finding warrants further investigation into surgical techniques and instrument materials.
Implications:
- Understanding the etiology of these cysts can help refine surgical protocols for radial keratotomy.
- Minimizing the risk of epithelial inclusion cysts may improve patient outcomes and satisfaction after refractive surgery.
- Further research is needed to confirm the role of metal blades in cyst pathogenesis.