Flap haze after epithelial debridement and flap hydration for treatment of post-laser in situ keratomileusis striae

Irene C. Kuo, Richard Ou, David G. Hwang

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose. To report a case of corneal haze after attempts to eliminate post-laser in situ keratomileusis (LASIK) lamellar striae. Methods. Case report. Results. A 24-year-old woman with visually significant flap striae 2 months after LASIK underwent manual epithelial debridement and flap hydration, refloating, and stretching to eliminate the striae. Three weeks after this intervention, she developed visually significant haze that was confined to the stroma of the flap. The haze slowly improved with use of a topical steroid. Conclusion. Stromal haze can develop after treatment of flap striae with epithelial debridement and hypo-osmolar irrigation. We speculate that these maneuvers may have induced cell death of anterior keratocytes and led to haze formation, as can occur after simple epithelial debridement and epithelial scrape-photorefractive keratectomy.

Original languageEnglish (US)
Pages (from-to)339-341
Number of pages3
JournalCornea
Volume20
Issue number3
DOIs
StatePublished - Apr 5 2001
Externally publishedYes

Keywords

  • Apoptosis
  • Epithelial scrape
  • Epithelium
  • Haze
  • Keratocyte
  • LASIK
  • PRK
  • Striae

ASJC Scopus subject areas

  • Ophthalmology

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