라섹수술 후 발생한 중심성 독성 각막병증 1예

• 영문명: Central Toxic Keratopathy After LASEK
• 발행기관: 대한안과학회
• 저자명: 조남석 박진형 진경현,Nam-Suk Cho, MD, Jin-Hyoung Park, MD, Kyung-Hyun Jin, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number5, 769~773쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.05.15

영문 초록

Purpose: We report a case of transient corneal opacity and hyperopia after LASEK surgery. Case summary: A 21-year-old female visited our clinic complaining of decreased visual acuity in the left eye. The patient had undergone LASEK surgeryten days previously. Before LASEK surgery, the central corneal thickness of the left eye was 540 μm, and the refractive error was -2.00 Dsph=-0.75 Dcyl ×80A with an estimated ablation depth of 52.2 μm. At the time of visit (on the tenth day after surgery), the best corrected visual acuity (BCVA) was 0.07, the central corneal thickness was 404 μm, and the refractive error was +1.00D=+1.25D ×90. Slit-lamp biomicroscopy showed round central corneal haziness, but there were no signs of inflammation. At the third weeks after surgery, the central corneal thickness was 401 μm and the refractive error was +11.25D=-4.00D ×145. Slit-lamp biomicroscopy showed sustained round central corneal haze. Twenty-two weeks after surgery, the central corneal thickness was 445 μm and the refractive error was -0.75D=-1.25D ×180. The corneal opacity had disappeared. Conclusions: In case of transient corneal opacity, stromal loss and hyperopic change after LASEK surgery, central toxic keratopathy should be considered. J Korean Ophthalmol Soc 2010;51(5):769-773

키워드

Central toxic keratopathy, Corneal opacity, Hyperopia, LASEK