
Undercorrection after photorefractive keratectomy in Wilson's disease
Author(s) -
Yung-Sung Lee,
Yiming Su,
Hsin-Chiung Lin
Publication year - 2014
Publication title -
taiwan journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.519
H-Index - 9
eISSN - 2211-5072
pISSN - 2211-5056
DOI - 10.1016/j.tjo.2013.09.005
Subject(s) - photorefractive keratectomy , medicine , contraindication , astigmatism , ophthalmology , refraction , keratoconus , refractive surgery , optometry , cornea , optics , pathology , physics , alternative medicine
A 34-year-old woman with Wilson’s disease and prominent Kayser–Fleischer rings had uncomplicated photorefractive keratectomy (PRK) in both eyes. Her preoperative refraction was −3.25 −2.50 × 180 in the right eye and −3.25 −1.50 × 180 in the left eye. The corneal topographic pattern showed symmetric bow tie with-the-rule astigmatism, and central corneal thickness was 550 μm in both eyes. Three months postoperatively, her refraction was −1.00 −1.25 × 180 in the right eye and −1.50 −1.00 × 180 in the left eye. The following enhancement surgery resulted in a stable and satisfactory refraction in 2 years. We conclude that Wilson’s disease might not be a contraindication for PRK