About: Penetrating keratoplasty for iatrogenic keratoconus after repeat myopic laser in situ keratomileusis: Histologic findings and literature review     Goto   Sponge   NotDistinct   Permalink

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  • Popisujeme pacienta s dostatečně silnou rohovkou (593 µm) a bez topografických známek preoperativního keratokonu, u kterého vznikl iatrogenní keratokonus 2 měsíce po poslední opakované laserové keratomileusi (-4,00-1,00 +- 20) vykonané 5 měsíců po primární proceduře (-10,50-1,00 +- 55). Po penetrující keratoplastice ukázala makrofotografie těžké mnohosměrné „makrostrie“ stromálního podloží. Po histologickém zhodnocení bylo dokumentováno nadměrné ztenčení reziduálního stromálního podloží na minimum 75 µm v nejnižších částech a maximum 200 µm na vrcholech makrostrií. Ve středu vrstvy byla tloušťka 225 µm. Silnější než zamýšlená vrstva (160 µm) by mohla být příčinou závažných komplikací postupu LASIK. (cs)
  • We report a patient with a sufficiently thick cornea (593 µm) and no topographic signs of keratoconus preoperatively who developed iatrogenic keratoconus 2 months after repeat laser in situ keratomileusis (-4.00 -1.00 +- 20) performed 5 months after the primary procedure (-10.50 -1.00 +- 55). After penetrating keratoplasty, macrophotography showed severe multidirectional %22macrostriae%22 of the stromal bed. On histologic evaluation, excessive thinning of the residual stromal bed to a minimum of 75 µm in the valleys and a maximum of 200 µm at the peaks of the macrostriae were documented. The flap thickness was 225 µm in the center. The thicker-than-intended flap (160 µm) is thought to be the cause of the severe complication of the LASIK procedure.
  • We report a patient with a sufficiently thick cornea (593 µm) and no topographic signs of keratoconus preoperatively who developed iatrogenic keratoconus 2 months after repeat laser in situ keratomileusis (-4.00 -1.00 +- 20) performed 5 months after the primary procedure (-10.50 -1.00 +- 55). After penetrating keratoplasty, macrophotography showed severe multidirectional %22macrostriae%22 of the stromal bed. On histologic evaluation, excessive thinning of the residual stromal bed to a minimum of 75 µm in the valleys and a maximum of 200 µm at the peaks of the macrostriae were documented. The flap thickness was 225 µm in the center. The thicker-than-intended flap (160 µm) is thought to be the cause of the severe complication of the LASIK procedure. (en)
Title
  • Penetrating keratoplasty for iatrogenic keratoconus after repeat myopic laser in situ keratomileusis: Histologic findings and literature review
  • Penetrating keratoplasty for iatrogenic keratoconus after repeat myopic laser in situ keratomileusis: Histologic findings and literature review (en)
  • Penetrující keratoplastika po iatrogenním keratokonusu po opakované laserové in situ keratomileusis u myopie: Histologické nálezy a literární přehled (cs)
skos:prefLabel
  • Penetrating keratoplasty for iatrogenic keratoconus after repeat myopic laser in situ keratomileusis: Histologic findings and literature review
  • Penetrating keratoplasty for iatrogenic keratoconus after repeat myopic laser in situ keratomileusis: Histologic findings and literature review (en)
  • Penetrující keratoplastika po iatrogenním keratokonusu po opakované laserové in situ keratomileusis u myopie: Histologické nálezy a literární přehled (cs)
skos:notation
  • RIV/00216208:11150/03:00003912!RIV08-MSM-11150___
http://linked.open.../vavai/riv/strany
  • 2217;2224
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • S
http://linked.open...iv/cisloPeriodika
  • 11
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 620551
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11150/03:00003912
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Penetrating; keratoplasty; iatrogenic; keratoconus; after; repeat; myopic; laser; keratomileusis; Histologic; findings; literature; review (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [0D51DEAF54BB]
http://linked.open...i/riv/nazevZdroje
  • Journal of Cataract and Refractive Surgery
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 29
http://linked.open...iv/tvurceVysledku
  • Rozsíval, Pavel
issn
  • 0886-3350
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http://localhost/t...ganizacniJednotka
  • 11150
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