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Endothelial Decompensation Following Epithelial LASIK With Loss of Epithelial Flap

2009; Slack Incorporated (United States); Volume: 25; Issue: 1 Linguagem: Inglês

10.3928/1081597x-20090101-10

1938-2391

Sameer Kaushal, Gaurav Prakash, Namrata Sharma, Jeewan S. Titiyal,

Corneal Surgery and Treatments

Purpose: To report a case that showed endothelial decompensation after epithelial LASIK (epi-LASIK). Methods: A 23-year-old woman underwent epi-LASIK surgery to correct refractive error of −4.00 −3.00 × 165° in the right eye and −2.50 −2.00 × 15° in the left eye. Preoperatively, the specular count was 2896 cells/mm 2 in the right eye and 3046 cells/mm 2 in the left eye. Central corneal thickness (CCT) was 490 µm and 493 µm in the right and left eyes, respectively. Results: Examination on the first postoperative day revealed diffuse corneal edema with radiating Descemet's folds in the right eye with best spectacle-corrected visual acuity of 20/80. Central corneal thickness was 493 µm and 373 µm in the right and left eyes, respectively, 1 week after surgery. Corneal edema resolved over a period of 3 weeks with healing of the epithelial defect. Endothelial cell count 3 weeks after surgery was 1310 cells/mm 2 in the right eye. Conclusions: Epi-LASIK can cause significant endothelial cell loss with development of corneal edema. [ J Refract Surg . 2009;25:74–76.]