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Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...

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Advanced Surface Ablation in a Patient With Suspect Topography: A Case Report.

Rodrigo Vilares Morgado1, Jaime Guedes2, Ana Margarida Ferreira1

  • 1Department of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, PRT.

Cureus
|June 14, 2024
PubMed
Summary

Photorefractive keratectomy (PRK) showed a 10-year positive outcome in a patient with a prior incorrect keratoconus diagnosis. This highlights PRK

Keywords:
corneal ectasiakeratoconuskeratoconus suspectphotorefractive keratectomysurface ablation

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Refractive Surgery

Background:

  • Keratoconus (KC) is a contraindication for laser vision correction due to ectasia risk.
  • Accurate diagnosis and imaging are crucial for refractive surgery candidates.
  • Atypical corneal topography may present challenges in diagnosis.

Observation:

  • This report details a 10-year clinical outcome of advanced photorefractive keratectomy (PRK).
  • The patient had a previous misdiagnosis of keratoconus (KC).
  • Advanced surface ablation was performed despite the prior KC diagnosis.

Findings:

  • The 10-year follow-up demonstrated successful clinical outcomes with PRK.
  • The patient did not develop corneal ectasia, a known complication.
  • This case suggests PRK may be viable for select KC or atypical topography cases.

Implications:

  • Multimodal imaging and patient education are vital for informed refractive surgery decisions.
  • Minimizing iatrogenic ectasia is a key concern in corneal surgery.
  • Correctly identifying surgical candidates can prevent unnecessary denials of refractive procedures.