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Clinical manifestation and pathologic finding of unilateral acute hydrops after bilateral laser in situ keratomileusis

Authors
 So-Hyang Chung  ;  Chan Young Im  ;  Eun Suk Lee  ;  Soo Young Choi  ;  Young A. Kwon  ;  Eung Kweon Kim 
Citation
 JOURNAL OF CATARACT AND REFRACTIVE SURGERY, Vol.31(6) : 1244-1248, 2005 
Journal Title
 JOURNAL OF CATARACT AND REFRACTIVE SURGERY 
ISSN
 0886-3350 
Issue Date
2005
MeSH
Acute Disease ; Adult ; Cornea/diagnostic imaging ; Cornea/pathology ; Corneal Edema/etiology* ; Corneal Edema/pathology ; Corneal Edema/surgery ; Corneal Topography ; Humans ; Keratomileusis, Laser In Situ/adverse effects* ; Keratoplasty, Penetrating ; Male ; Myopia/surgery* ; Ultrasonography ; Visual Acuity/physiology
Keywords
16039506
Abstract
We present a case of unilateral acute hydrops that developed in 25-year-old man 6 years after bilateral laser in situ keratomileusis (LASIK) for the correction of 2.75 diopters (D) of myopia. Preoperative corneal thickness using ultrasound pachymetry were 556 microm in the right eye and 554 microm in the left eye. Preoperative corneal topography of both eyes showed an asymmetric bow-tie pattern with inferior steepening. Forty-seven months after LASIK, the left eye developed astigmatism and enhancement excimer ablation was performed. Sixteen months after enhancement, a definite sign of keratectasia was detected in the left eye. Twenty-six months after enhancement, acute hydrops occurred in the left eye. The interface of the LASIK wound was separated and filled with aqueous humor. Penetrating keratoplasty was performed to avoid perforation. The keratocytes at the edge between the peripheral flap and remaining stroma showed mixoid degeneration and edematous change suggesting dying cells.
Full Text
http://www.sciencedirect.com/science/article/pii/S0886335004012131
DOI
10.1016/j.jcrs.2004.12.043
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eung Kweon(김응권) ORCID logo https://orcid.org/0000-0002-1453-8042
Lee, Eun Suk(이은석)
Im, Chan Young(임찬영)
Chung, So Hyang(정소향)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147658
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