Bilateral corneal epithelial macrocysts following hyperopic laser in situ keratomileusis
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Elsevier Inc.
Abstract
A 27-year-old woman had microkeratome-assisted laser in situ keratomileusis (LASIK) for moderate bilateral hyperopia. The preoperative ophthalmologic examination was unremarkable except for minimal lissamine green staining bilaterally on the nasal conjunctiva. On the first postoperative day, the uncorrected distance visual acuity (UDVA) was 20/20 bilaterally and the corneas were clear. Four days later, the patient presented with mild blur in both eyes. Examination showed diffuse bilateral epithelial cysts encompassing the central 6.0 to 7.0 mm of the flaps with overlying diffuse lissamine green staining. The UDVA was 20/30 bilaterally. Aggressive lubrication was administered. The epithelial cysts coalesced into larger ones over subsequent visits and began regressing over several months, along with improvement in vision. At 6 months, the cysts had completely resolved, the corneas were clear, and the UDVA was 20/20. © 2017 ASCRS and ESCRS
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Keywords
Adult, Cysts, Female, Humans, Hyperopia, Keratomileusis, laser in situ, Postoperative complications, Surgical flaps, Visual acuity, Cyclosporin a, Eye drops, Hyaluronic acid, Article, Bilateral corneal epithelial macrocyst, Case report, Clinical article, Cornea disease, Cornea epithelium, Corneal pachymetry, Corrected distance visual acuity, Cyst, Eye irritation, Eye refraction, Follow up, Human, Hypermetropia, Keratomileusis, Microkeratome, Postoperative complication, Priority journal, Refractive surgery, Vision, Adverse event