In:
Journal of Refractive Surgery, SLACK, Inc., Vol. 18, No. 6 ( 2002-11), p. 750-752
Abstract:
ABSTRACT PURPOSE: To report a case of late-onset corneal haze following previous photorefractive keratectomy (PRK) concurrent with the development of systemic lupus erythematosus. METHODS: Single case report and review of medical literature. RESULTS: A 41 -year-old woman underwent uneventful bilateral, non-simultaneous photorefractive keratectomy (PRK) with retreatment of the right eye after 1 year. Two months after retreatment, the patient presented with headaches and mental status changes and was diagnosed with systemic lupus erythematosus. Severe reticular corneal scarring developed in the right eye 1 year after retreatment. After the patient's disease was well controlled on a maintenance dose of hydroxychloroquine 200 mg twice a day, mechanical debridement was performed on the right cornea with a marked decrease in corneal haze and improved best spectacle-corrected vision. CONCLUSION: Patients who manifest with autoimmune disorders such as systemic lupus erythematosus may be at greater risk for developing dense, reticular corneal scars after PRK. [J Refract Surg 2002;18:750-752]
Type of Medium:
Online Resource
ISSN:
1081-597X
DOI:
10.3928/1081-597X-20021101-16
Language:
English
Publisher:
SLACK, Inc.
Publication Date:
2002
