Abstract
PURPOSE: To report a case of granular corneal dystrophy after radial keratotomy (RK). METHODS: A 32-year-old man presented with white radial lines in both corneas. He had a history of uncomplicated RK in both eyes 8 years ago. Preoperative refraction had been OD -3.5-0.75 × 180 and OS -3.0-0.5 × 175. The cornea was reported to be clear on postoperative examinations. RESULTS: Postoperative uncorrected visual acuity was OD 20/30 and OS 20/40. Best-corrected visual acuity was 20/25 in both eyes with OD -0.5-0.5 × 60 and OS -0.75-0.5 × 80. Slit-lamp examination revealed discrete well-demarcated whitish lesions with clear intervening stroma in the central anterior cornea consistent with granular dystrophy. Similar opacities were present within the RK incisions. CONCLUSIONS: Production and deposition of such abnormal material could be due to keratocyte activation after RK or proliferation and migration of epithelial cells with a tendency to express abnormal keratoepithelin.
Original language | English (US) |
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Pages (from-to) | 1267-1269 |
Number of pages | 3 |
Journal | Cornea |
Volume | 26 |
Issue number | 10 |
DOIs | |
State | Published - Dec 2007 |
Externally published | Yes |
Keywords
- Granular corneal dystrophy
- Keratoepithelin
- Radial keratotomy
ASJC Scopus subject areas
- Ophthalmology