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Revista Cubana de Tecnología de la Salud

ISSN 2218-6719 (Print)
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2014, Number 3

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Rev Cub de Tec de la Sal 2014; 5 (3)

Posterior polymorphous dystrophy and refractive surgery. Presentation of case

Faife CMÁ, Herrera SB
Full text How to cite this article

Language: Spanish
References: 7
Page: 1-4
PDF size: 87.37 Kb.


Key words:

posterior polymorphous dystrophy (PPD), endothelial microscopy, LASIK, LASEK.

ABSTRACT

A 18 years-old patient with a history of myopia, who went to the physician´s office for refractive surgery. The biomicroscopic corneal examination revealed the presence of vesicles and bands at Descemet membrane and endothelium suggestive of Posterior polymorphous dystrophy (PPD). A complete ophthalmological examination was performed including visual acuity, refraction, corneal topography, pakimetry, keratometry and endothelial microscopy of the cornea. A low endothelial cell count may be a contraindication for a refractive surgery in cases of PPD because of the possible risk of corneal decompensation.


REFERENCES

  1. Barraquer RI, de Toledo MC, Torres E. Distrofias y degeneraciones corneales. Atlas y texto. Barcelona: Expaxs, 2004.pp. 222-234.

  2. Moshirfar M, Barsam CA, Tanner MC. Laser in situ keratomileusis in patients with posterior poly-morphous dystrophy. Córnea. Massachusetts: 2005.pp. 230-232.

  3. Ivarsen A, Fledelius W, Hjortdal J.”Three-year changes in epithelial and stromal thickness after PRK or LASIK for high myopia”. Invest Ophthalmol Vis Sci.vol.50, (2), pp.2061-6, 2009.

  4. Chen WL, Shen E, Hsieh Y, Yeh PT, Wang T, Hu FR.”Comparison of in vivo confocal microscopic find-ings between epi-LASIK procedures with different management of the epithelial flaps”. Invest Oph-thalmol Vis Sci, vol 52, (6), pp.3640-7. 2011.

  5. Li J, Wang Y. Characteristics of straylight in normal young myopic eyes and changes before and after LASIK. Invest Ophthalmol Vis Sci. vol 52, (6), pp.3069-73. 2011

  6. Holzer MP, Knorz MC, Tomalla M, Neuhann TM, Auffarth GU. Intrastromal femtosecond laser pres-byopia correction: One-year results of a multicenter study. J Refract Surg.vol 28, (3), pp.182-8.2012

  7. Benítez Merino MC, Capote Cabrera A, Ríos Torres M, Hernández Silva JR. Distrofia Posterior. Mi-croscopía Confocal .La Habana: Editorial Ciencias Médicas, 2013 .pp. 55-58.




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Rev Cub de Tec de la Sal. 2014;5