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
Corneajournal_title
Corneaauthors
Ma JJ,Tseng SS,Yarascavitch BAdoi
10.1097/ICO.0b013e3181930b9fsubject
Has Abstractpub_date
2009-09-01 00:00:00pages
927-9issue
8eissn
0277-3740issn
1536-4798journal_volume
28pub_type
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