Phototherapeutic keratectomy for Reis-Bückler's dystrophy

Reis-Bückler's dystrophy has been a difficult management problem with generally poor long-term results from the conventional treatment techniques of penetrating and lamellar keratoplasty. Phototherapeutic keratectomy (PTK) is now the standard method of managing this anterior corneal disease when intervention is required. We have treated nine eyes with Reis-Bückler's dystrophy, including two in whom previous penetrating keratoplasty had been performed. All of our patients achieved substantial visual improvement from an average visual acuity of 6/60 to 6/9, and all had complete cessation of recurrent erosions.