Choroidal neovascularization after laser-assisted in situ keratomileusis following penetrating keratoplasty.

Authors :: Scupola A
Mosca L
Balestrazzi A
Tiberti AC
Spadea L
Source :: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie [Graefes Arch Clin Exp Ophthalmol] 2003 Aug; Vol. 241 (8), pp. 682-4. Date of Electronic Publication: 2003 Jul 17.
Publication Year :: 2003
Abstract: Purpose: To describe a case of choroidal neovascularization (CNV) after laser in situ keratomileusis (LASIK) following penetrating keratoplasty (PK).<br />Methods: Case report.<br />Results: A 30-year-old man underwent PK in both eyes for bilateral keratoconus in 1997. Two years later, best-corrected visual acuity (BCVA) was 20/40 (-6=-4.50 x 170 degrees ) in RE and 20/20 (-1.50=-0.50 x 90 degrees ) in LE. To reduce the anisometropic defect, LASIK was performed in RE. After surgery, the refractive defect in RE reduced to -1.75 x 125 degrees and BCVA improved to 20/25. Six months after LASIK the patient presented loss of vision and metamorphopsia in RE due to choroidal neovascularization. BCVA was reduced to 20/200. Photodynamic therapy was performed in RE; 1 year later BCVA was stable at 20/200.<br />Conclusion: Vitreoretinal complications after LASIK occur rarely. The potential relationship between CNV and LASIK is discussed.

Language :: English
ISSN :: 0721-832X
Volume :: 241
Issue :: 8
Database :: MEDLINE
Journal :: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
Publication Type :: Academic Journal
Accession number :: 12883912
Full Text :: https://doi.org/10.1007/s00417-003-0705-x

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