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Titre du document / Document title

Keratolysis following excimer laser phototherapeutic keratectomy in a patient with keratoconus

Auteur(s) / Author(s)

LAHNERS William J. (1) ; RUSSELL Buddy (1) ; GROSSNIKLAUS Hans E. (1) ; STULTING R. Doyle (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA, ETATS-UNIS

Résumé / Abstract

PURPOSE: We report a case of keratolysis following phototherapeutic keratectomy (PTK) for a subepithelial nodule in a patient with keratoconus. METHODS: A 29-year-old male with keratoconus who became contact lens intolerant because of a raised subepithelial nodule was treated with excimer laser phototherapeutic keratectomy (PTK). RESULTS: The epithelium failed to heal postoperatively, and progressive keratolysis led to a central descemetocele by the eighth postoperative day. The patient was managed with a penetrating keratoplasty. CONCLUSIONS: Excimer laser phototherapeutic keratectomy has been shown to be an effective treatment for subepithelial nodules in patients with keratoconus. Rapidly progressive keratolysis is a potential complication of this procedure.

Revue / Journal Title

Journal of refractive surgery   ISSN 1081-597X   CODEN JRSUFZ 

Source / Source

Congrès
International Congress of Wavefront Sensing and Aberration-free Refractive Correction No2, Monterey, California , ETATS-UNIS (09/02/2001)
2001, vol. 17, no 5, pp. S564-S617 (32 ref.), pp. 555-558

Langue / Language

Anglais

Editeur / Publisher

Slack, Thorofare, NJ, ETATS-UNIS  (1995) (Revue)

Mots-clés anglais / English Keywords

Skin disease ; Surgery ; Keratopathy ; Eye disease ; Patient ; Human ; Case study ; Eye ; Cornea ; Keratolysis ; Laser ; Excimer ; Photorefractive keratectomy ; Complication ; Treatment ; Keratoconus ;

Mots-clés français / French Keywords

Peau pathologie ; Chirurgie ; Kératopathie ; Oeil pathologie ; Malade ; Homme ; Etude cas ; Oeil ; Cornée ; Kératolyse ; Laser ; Excimère ; Kératectomie photoréfractive ; Complication ; Traitement ; Kératocône ;

Mots-clés espagnols / Spanish Keywords

Piel patología ; Cirugía ; Queratopatía ; Ojo patología ; Enfermo ; Hombre ; Estudio caso ; Ojo ; Córnea ; Queratólisis ; Laser ; Excímero ; Queratectomía fotorefractiva ; Complicación ; Tratamiento ; Queratocono ;

Localisation / Location

INIST-CNRS, Cote INIST : 21122, 35400009973133.0080

Nº notice refdoc (ud4) : 14105041

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