Conventional Epi-LASIK and Lamellar Epithelial Debridement in Myopic Patients with Dermatologic Keloids.
10.3341/kjo.2011.25.3.206
- Author:
Jun Yong LEE
1
;
Dong Ju YOUM
;
Chul Young CHOI
Author Information
1. Department of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. sashimi0@naver.com
- Publication Type:Case Report
- Keywords:
Epipolis laser in situ keratomileusis;
Keloid;
Lamellar epithelial debridement
- MeSH:
Adult;
*Debridement;
Eyeglasses;
Female;
Follow-Up Studies;
Humans;
Keloid/complications/physiopathology/*surgery;
Keratomileusis, Laser In Situ/*methods;
Myopia/complications/physiopathology/*surgery;
Postoperative Period;
Skin Diseases/complications/physiopathology/*surgery;
Treatment Outcome;
Visual Acuity
- From:Korean Journal of Ophthalmology
2011;25(3):206-209
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report the outcome of conventional epipolis laser in situ keratomileusis (Epi-LASIK, flap-on) and lamellar epithelial debridement (LED; Epi-LASIK, flap-off) in myopic patients with dermatologic keloids. Three patients, who were all noted to be susceptible to keloid scarring, received conventional Epi-LASIK in their right eyes and LED in their left eyes. The patients were followed-up for 6 to 21 months after their surgeries, and the outcomes were then evaluated. In case 1, the preoperative spherical equivalent (SE) was -6.5 diopters (D) in the right eye (OD) and -6.25 D in the left eye (OS). At 21 months postoperatively, the uncorrected visual acuity (UCVA) was 20 / 12.5 in both eyes. In case 2, the preoperative SE was -5.25 (OD) / -6.00 (OS). After six months, the postoperative UCVA was 20 / 12.5 in both eyes. In case 3, the preoperative SE was -4.5 (OD) / -2.0 (OS). The UCVA at the six-month follow-up was 20 / 12.5 in both eyes. No adverse events, including corneal haze, occurred in any of the patients. All three of our patients reported excellent visual outcomes following both conventional Epi-LASIK and LED, despite their histories of keloid formation. The present cases suggest that both Epi-LASIK and LED may be safe and effective techniques for myopic patients with dermatologic keloids.
