Etude histopathologique d'une lamelle de cornee excisee apres complications de traitement de myopie par Lasik. [Histopathological study of corneal lamella excised after complications of myopia treatment with LASIK]

Détails

ID Serval
serval:BIB_5831E1B65F1E
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Etude histopathologique d'une lamelle de cornee excisee apres complications de traitement de myopie par Lasik. [Histopathological study of corneal lamella excised after complications of myopia treatment with LASIK]
Périodique
Klinische Monatsblatter fur Augenheilkunde
Auteur(s)
Uffer  S., Andenmatten  R., Daya  S., de Courten  C.
ISSN
0023-2165 (Print)
Statut éditorial
Publié
Date de publication
03/2003
Volume
220
Numéro
3
Pages
210-2
Notes
Case Reports
English Abstract
Journal Article --- Old month value: Mar
Résumé
BACKGROUND: Several complications may occur after Lasik surgery, some of which can lead to corneal scarring and irreversible visual loss. We report such a case, with a clinicopathologic correlation. HISTORY AND SIGNS: A forty-seven-year-old patient with a - 6 D myopia had a Lasik performed with a 160 micron Moria microkeratome. This was complicated by the occurrence of a free cap which was sutured 3 times and of an epithelial ingrowth which was scraped. THERAPY AND OUTCOME: A superficial lamellar graft was performed 1S year later because of persistent photophobia and discomfort. Three weeks later the patient had a clear graft and was symptom free. Light microscopy showed an epithelial ingrowth, peripheral breaks and folds of Bowman's membrane, peripheral folds of superficial stroma with fibrosis and compensatory corneal epithelium acanthosis. There is keratolysis of the central stroma. By electron microscopy, the disrupted stroma showed activated fibroblasts, and the superficial epithelium is immature. Pathogenesis of these complications is discussed. CONCLUSIONS: The patient's clinical symptoms are to a certain extent explained by the histopathological findings. Epithelial ingrowth must be treated in time to avoid keratolysis.
Mots-clé
Cicatrix/*pathology/surgery Epithelium, Corneal/*pathology/surgery Female Follow-Up Studies Humans Keratomileusis, Laser In Situ/*adverse effects Middle Aged Myopia/pathology/*surgery Postoperative Complications/*pathology/surgery Recurrence Reoperation Suture Techniques
Pubmed
Web of science
Création de la notice
28/01/2008 14:02
Dernière modification de la notice
20/08/2019 15:12
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