medigraphic.com
SPANISH

Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2008, Number 6

Next >>

Rev Mex Oftalmol 2008; 82 (6)

Hallazgos mediante microscopía confocal en pacientes postoperados de LASIK tratados con antiinflamatorios no esteroideos (AINES)

Ramírez FM, Martinez MY, Naranjo-Tackman R
Full text How to cite this article

Language: Spanish
References: 23
Page: 349-351
PDF size: 71.21 Kb.


Key words:

LASIK, confocal microscopy, non steroids anti-inflammatory , agents.

ABSTRACT

Purpose: To evaluate, by using confocal microscopy, the post-LASIK stromal findings in patients treated with non steroids anti-inflammatory agents (NSAE).
Methods: 24 eyes of 12 patients underwent LASIK, non steroids an anti-inflammatory agent was used in the postoperatory treatment. Confocal microscopy was done at 1 week and 1 month after surgery.
Results: Corneal epithelium and stromal flap were normal in 100% of the postoperatory corneas. Corneal flap interfacewas found in all corneas by the presence of hiperreflective particles. At the retroablation zone after LASIK, activated keratocites were found in a stromal portion thickness of 26.4 ± 15.7 µ at 1 week and 26.4 ± 15.7 µ at 1 month respectively.
Conclusion: Confocal microscopy findings after LASIK in patients treated with non steroids anti-inflammatory agents are similar than previous reports using steroids agents.


REFERENCES

  1. Pallikaris IG, Papatzanaki ME, Stathi EZ, Frenschock O, Georgiadis A. Laser in situ keratomileusis. Lasers in Surgery & Medicine 1990; 10:463-8.

  2. Knorz MC, Liermann A, Wiesinger B, Seiberth V, Liesenhoff H. [Laser in situ keratomileusis (LASIK) for correction of myopia]. Ophthalmologe 1997; 94:775-9.

  3. Hamilton DR, Manche EE, Rich LF, Maloney RK. Steroidinduced glaucoma after laser in situ keratomileusis associated with interface fluid. Ophthalmology 2002; 109:659-65.

  4. Lautebach S, Funk J, Reinhard T, Pache M. [Steroid glaucoma after laser in situ keratomileusis]. Klin Monatsbl Augenheilkd 2007; 224:438-40.

  5. Erie JC, Patel SV, McLaren JW y cols. Effect of myopic laser in situ keratomileusis on epithelial and stromal thickness: a confocal microscopy study. Ophthalmology 2002; 109:1447-52.

  6. Ramirez M, Hernandez-Quintela E, Sanchez-Huerta V, Naranjo- Tackman R. Confocal microscopy of corneal flap microfolds after LASIK. J Refract Surg 2006; 22:155-8.

  7. Ramirez M, Hernandez-Quintela E, Naranjo-Tackman R. A comparative confocal microscopy analysis after LASIK with the Intra Lase femtosecond laser vs Hansatome microkeratome. J Refract Surg 2007; 23:305-7.

  8. Vesaluoma MH, Peraz-Santoja JJ, Linna TU, Petroll WM y cols. Confocal microscopy after myopic LASIK. Invest Ophthalmol Vis Sci 1999; 40 (ARVO abstract):S897.

  9. Mitooka K, Ramirez M, Maguire LJ y cols. Keratocyte density of central human cornea after laser in situ keratomileusis. Am J Ophthalmol 2002; 133:307-14.

  10. Kauffmann T, Bodanowitz S, Hesse L, Kroll P. Corneal reinnervation after photorefractive keratectomy and laser in situ keratomileusis: an in vivo study with a confocal videomicroscope. Ger Jf Ophthalmol 1996; 5:508-12.

  11. Lee BH, McLaren JW, Erie JC, Hodge DO, Bourne WM. Reinnervation in the cornea after LASIK. Invest Ophthalmol Vis Sci 2002; 43:3660-4.

  12. Linna TU, Perez-Santonja JJ, Tervo KM, Sakla HF y cols. Recovery of corneal nerve morphology following laser in situ keratomileusis. Experimental Eye Research 1998; 66:755-63.

  13. Aras C, Ozdamar A, Bahcecioglu H, Karacorlu M, Sener B, Ozkan S. Decreased tear secretion after laser in situ keratomileusis for high myopia. J Refract Surg 2000; 16:362-4.

  14. Wilson SE. Laser in situ keratomileusis-induced (presumed) neurotrophic epitheliopathy. Ophthalmology 2001; 108:1082-7.

  15. Hirst LW, Vandeleur KW, Jr. Laser in situ keratomileusis interface deposits. J RefracSurg 1998; 14:653-4.

  16. Dawson DG, Holley GP, Geroski DH, Waring GO, 3rd y cols. Ex vivo confocal microscopy of human LASIK corneas with histologic and ultrastructural correlation. Ophthalmology 2005; 112:634-44.

  17. Kratz-Owens KL, Hageman GS, Schanzlin DJ. An in-vivo technique for monitoring keratocyte migration following lamellar keratoplasty. Refrac Corneal Surg 1992; 8:230-4.

  18. Chew SJ, Beuerman RW, Kaufman HE, McDonald MB. In vivo confocal microscopy of corneal wound healing after excimer laser photorefractive keratectomy. CLAO J 1995; 21:273-80.

  19. Prydal JI, Franc F, Dilly PN, Kerr Muir MG, Corbett MC, Marshall J. Keratocyte density and size in conscious humans by digital image analysis of confocal images. Eye 1998; 12:337-42.

  20. Davidson RS, Brandt JD, Mannis MJ. Intraocular pressureinduced interlamellar keratitis after LASIK surgery. J Glaucoma 2003; 12:23-6.

  21. Belin MW, Hannush SB, Yau CW, Schultze RL. Elevated intraocular pressure-induced interlamellar stromal keratitis. Ophthalmology 2002; 109:1929-33.

  22. Nordlund ML, Grimm S, Lane S, Holland EJ. Pressure-induced interface keratitis: a late complication following LASIK. Cornea 2004; 23:225-34.

  23. Galal A, Artola A, Belda J y cols. Interface corneal edema secondary to steroid-induced elevation of intraocular pressure simulating diffuse lamellar keratitis. J Refract Surg 2006; 22:441-7.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Oftalmol. 2008;82