Corneal endothelial damage after simultaneous PRK and corneal cross-linking in stable keratoconus.

ABSTRACT:

Purpose

To describe a case of endothelial damage after photorefractive keratectomy (PRK) combined with corneal cross-linking (CXL).

Observations

A 34-year-old man with diagnosis of stable keratoconus presented at our clinic complaining of vision loss in the left eye after same-day simultaneous PRK and CXL. One year postoperatively, slit-lamp examination showed central corneal haze and specular microscopy demonstrated reduced endothelial cell density compared with the preoperative state. Corrected distance visual acuity decreased from 18/20 preoperatively to 20/60 postoperatively. The thinnest corneal thickness value decreased from 432 μm preoperatively to 328 μm postoperatively.

Conclusions and importance

The present case demonstrates the importance of appropriate det

SUBMITTER: Serrao S 

PROVIDER: S-EPMC6378891 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature