Anterior segment optical coherence tomography for transepithelial phototherapeutic keratectomy in central corneal stromal scarring.

Abstract:

PURPOSE:To demonstrate the use of anterior segment optical coherence tomography (ASOCT) in planning phototherapeutic keratectomy (PTK) removal of central corneal stromal scarring. METHODS:A 62-year-old male presented with central corneal scars associated with significant ocular surface disease. Videokeratographies obtained using 3 different systems were not reliable. ASOCT, however, provided consistent pachymetry in the presence of noncalcific stromal opacity, which extended below Bowman membrane. PTK was performed with a transepithelial ablation, mitomycin C (MMC), and a slightly myopic photorefractive keratectomy. RESULTS:Slit-lamp examination and postoperative ASOCT revealed an optically clear cornea with no evidence of stromal haze at any time point. CONCLUSION:Transepithelial PTK guided by ASOCT can allow for the precise and accurate removal of central corneal stromal opacities, resulting in a favorable refractive outcome.

journal_name

Cornea

journal_title

Cornea

authors

Ma JJ,Tseng SS,Yarascavitch BA

doi

10.1097/ICO.0b013e3181930b9f

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

927-9

issue

8

eissn

0277-3740

issn

1536-4798

journal_volume

28

pub_type

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