A Clinical Experience of Phototherapeutic Keratectomy for Reis-Bucklers' Dystrophy.
- Author:
Sang Bumm LEE
1
;
Jong Gwan LEE
;
Duk Kee HAHN
Author Information
1. Department of Ophthalmology, College of Medicine, Yeungnam University, Taegu, Korea.
- Publication Type:Case Report
- Keywords:
Cornea;
Corneal dystrophy;
Excimer laser;
Phototherapeutic kera tectomy;
Reis-Bucklers' dystrophy
- MeSH:
Adult;
Bowman Membrane;
Connective Tissue;
Cornea;
Corneal Diseases;
Corneal Opacity;
Corneal Transplantation;
Humans;
Lasers, Excimer
- From:Journal of the Korean Ophthalmological Society
1996;37(2):365-370
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Reis-Bucklers' dystrophy is an autosomal dominant disorder involving Bowman's membrane. It usually appears as a recurrent corneal erosion in early childhood and is characterized by an irregular, semi-opaque accumulation of fibrous connective tissue in the area of Bowman's membrane and symmetrical progressive opacity of superficial central cornea. Eventually, it causes visual disturbance due to re-ticulated gray-white corneal opacity and corneal surface irregularity. The ophthalmic surgeons have met difficulties in the management of Reis-Bucklers' corneal dystrophy because of poor long-term results following conventional penetrating and lamellar keratoplasties. We experienced a case of Reis-Bucklers' dystrophy in 25 years old man which was confirmed by clinical and pathological evidences and successfully treated by excimer laser phototherapeutic keratectomy(PTK) with VISX 20/20 B(R). In conclusion, we would suggest that PTK could be another modality of management in this anterior corneal disease when surgical intervention is required.
