Academic Journal
Addition by Subtraction: Reversing Epikeratophakia and Stromal Scarring in a Patient With Myopia Magna
| العنوان: | Addition by Subtraction: Reversing Epikeratophakia and Stromal Scarring in a Patient With Myopia Magna |
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| المؤلفون: | Wendelstein, Jascha A., Freller, Katrin, Riaz, Kamran M., Seiler, Theo G. |
| المصدر: | Cornea ; ISSN 0277-3740 1536-4798 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2025 |
| الوصف: | Purpose: To describe a three-phase surgical approach for managing progressive visual decline in a patient with myopia magna and a history of epikeratophakia. Methods: A 55-year-old woman with previous epikeratophakia surgery in both eyes experienced progressive visual deterioration. The three-phase approach included: (1) removal of the epikeratophakia lenticule, (2) cataract extraction with intraocular lens implantation, and (3) transepithelial topography-guided photorefractive keratectomy (trans-PRK). Preoperative and postoperative refraction, corneal topography, and visual acuity were assessed. Results: After trans-PRK, the right eye exhibited regularization of the corneal surface, with a final best spectacle-corrected acuity of 0.15 logMAR. A similar two-phase approach without lenticule removal was applied to the left eye, resulting in improved visual outcomes. Conclusions: A three-phase surgical approach combining lenticule removal, cataract surgery, and topography-guided PRK offers a potential pathway for visual improvement in patients with phakic postepikeratophakia. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/ico.0000000000003797 |
| DOI: | 10.1097/ICO.0000000000003797 |
| الاتاحة: | https://doi.org/10.1097/ico.0000000000003797 https://journals.lww.com/10.1097/ICO.0000000000003797 |
| رقم الانضمام: | edsbas.DA902A02 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/ico.0000000000003797 |
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