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Unilateral progressive epitheliopathy after LASIK
Journal of Cataract and Refractive Surgery
|April 10, 2020
Summary
A patient developed progressive vision decline after LASIK surgery due to abnormal epithelial growth, potentially linked to prior Accutane use or chemical exposure. Surgical intervention may be necessary to restore vision.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Refractive Surgery
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Complications can arise, including epithelial abnormalities.
- Patient history is crucial for understanding potential risk factors.
Observation:
- A 36-year-old man experienced declining vision 6 months post-LASIK.
- Wavelike epithelial plaques developed on the cornea, affecting visual acuity.
- Previous contact lens-induced keratopathy and potential Accutane use were noted.
Findings:
- Progressive epithelial hyperplasia along the LASIK flap margins occurred.
- Corneal topography and OCT revealed epithelial irregularities encroaching the visual axis.
- Vision declined to 20/80 corrected distance visual acuity in the affected eye.
Implications:
- Epithelial ingrowth is a potential complication of LASIK surgery.
- Accurate diagnosis and timely intervention are critical for visual recovery.
- Further investigation into patient history may reveal underlying predispositions.
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