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Pressure-Induced Stromal Keratopathy after Surface Ablation Surgery.

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Title: Pressure-Induced Stromal Keratopathy after Surface Ablation Surgery.
Authors: Guedes, Jaime1 (AUTHOR), Vilares-Morgado, Rodrigo1,2 (AUTHOR) vilaresmorgador@gmail.com, Brazuna, Rodrigo1,3 (AUTHOR), Costa Neto, Alexandre1,3 (AUTHOR), Mora-Paez, Denisse Josefina1 (AUTHOR), Salomão, Marcella Q.1 (AUTHOR), Faria-Correia, Fernando1,4 (AUTHOR), Ambrósio Jr., Renato1,3,5 (AUTHOR)
Source: Case Reports in Ophthalmology. Jul2024, Vol. 15 Issue 1, p532-541. 10p. 6 Illustrations.
Subject Terms: *TONOMETRY, *PHOTOREFRACTIVE keratectomy, *SLIT lamp microscopy, *CORNEAL opacity, *INTRAOCULAR pressure, *CORNEA, *ORAL drug administration, *LASIK
Abstract: Introduction: The purpose of this clinical report was to describe an unprecedented case of bilateral pressure-induced stromal keratopathy (PISK) following corneal photorefractive keratectomy, associated with presumed herpetic keratitis, and to present tomographic and biomechanical findings before and after appropriate treatment. Case Presentation: A 33-year-old male patient was referred to our clinic with suspected delayed corneal epithelial healing 3 weeks after an uncomplicated PRK. A central layer of corneal opacity with a presumed fluid-filled interface area was observed upon slit lamp biomicroscopy. Scheimpflug images from the Pentacam® revealed a hyperreflective area beneath the central cornea. Scheimpflug-based corneal tomography, biomechanical assessment using the Pentacam® AXL Wave, and the Corvis ST® were conducted. Goldmann applanation tonometry measured 23/13 mm Hg, while noncontact tonometry intraocular pressure measured with the Corvis ST® (Corvis ST IOPnct) was 40.5/43.5 mm Hg. Treatment with oral valacyclovir, combined with ocular hypotensive therapy, led to a significant reduction in IOP and improved corneal deformation parameters after 1 month. Conclusion: Surgeons should be aware of the inaccuracy of Goldmann applanation tonometry in PISK, which can occur after LASIK or surface ablation. [ABSTRACT FROM AUTHOR]
Copyright of Case Reports in Ophthalmology is the property of Karger AG and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
  Group: Ti
  Data: Pressure-Induced Stromal Keratopathy after Surface Ablation Surgery.
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  Data: <searchLink fieldCode="AR" term="%22Guedes%2C+Jaime%22">Guedes, Jaime</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vilares-Morgado%2C+Rodrigo%22">Vilares-Morgado, Rodrigo</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> vilaresmorgador@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Brazuna%2C+Rodrigo%22">Brazuna, Rodrigo</searchLink><relatesTo>1,3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Costa+Neto%2C+Alexandre%22">Costa Neto, Alexandre</searchLink><relatesTo>1,3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mora-Paez%2C+Denisse+Josefina%22">Mora-Paez, Denisse Josefina</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Salomão%2C+Marcella+Q%2E%22">Salomão, Marcella Q.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Faria-Correia%2C+Fernando%22">Faria-Correia, Fernando</searchLink><relatesTo>1,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ambrósio+Jr%2E%2C+Renato%22">Ambrósio Jr., Renato</searchLink><relatesTo>1,3,5</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Case+Reports+in+Ophthalmology%22">Case Reports in Ophthalmology</searchLink>. Jul2024, Vol. 15 Issue 1, p532-541. 10p. 6 Illustrations.
– Name: Subject
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  Data: *<searchLink fieldCode="DE" term="%22TONOMETRY%22">TONOMETRY</searchLink><br />*<searchLink fieldCode="DE" term="%22PHOTOREFRACTIVE+keratectomy%22">PHOTOREFRACTIVE keratectomy</searchLink><br />*<searchLink fieldCode="DE" term="%22SLIT+lamp+microscopy%22">SLIT lamp microscopy</searchLink><br />*<searchLink fieldCode="DE" term="%22CORNEAL+opacity%22">CORNEAL opacity</searchLink><br />*<searchLink fieldCode="DE" term="%22INTRAOCULAR+pressure%22">INTRAOCULAR pressure</searchLink><br />*<searchLink fieldCode="DE" term="%22CORNEA%22">CORNEA</searchLink><br />*<searchLink fieldCode="DE" term="%22ORAL+drug+administration%22">ORAL drug administration</searchLink><br />*<searchLink fieldCode="DE" term="%22LASIK%22">LASIK</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold><italic>Introduction:</italic></bold> The purpose of this clinical report was to describe an unprecedented case of bilateral pressure-induced stromal keratopathy (PISK) following corneal photorefractive keratectomy, associated with presumed herpetic keratitis, and to present tomographic and biomechanical findings before and after appropriate treatment. <bold><italic>Case Presentation:</italic></bold> A 33-year-old male patient was referred to our clinic with suspected delayed corneal epithelial healing 3 weeks after an uncomplicated PRK. A central layer of corneal opacity with a presumed fluid-filled interface area was observed upon slit lamp biomicroscopy. Scheimpflug images from the Pentacam® revealed a hyperreflective area beneath the central cornea. Scheimpflug-based corneal tomography, biomechanical assessment using the Pentacam® AXL Wave, and the Corvis ST® were conducted. Goldmann applanation tonometry measured 23/13 mm Hg, while noncontact tonometry intraocular pressure measured with the Corvis ST® (Corvis ST IOPnct) was 40.5/43.5 mm Hg. Treatment with oral valacyclovir, combined with ocular hypotensive therapy, led to a significant reduction in IOP and improved corneal deformation parameters after 1 month. <bold><italic>Conclusion:</italic></bold> Surgeons should be aware of the inaccuracy of Goldmann applanation tonometry in PISK, which can occur after LASIK or surface ablation. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Case Reports in Ophthalmology is the property of Karger AG and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1159/000539701
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 532
    Subjects:
      – SubjectFull: TONOMETRY
        Type: general
      – SubjectFull: PHOTOREFRACTIVE keratectomy
        Type: general
      – SubjectFull: SLIT lamp microscopy
        Type: general
      – SubjectFull: CORNEAL opacity
        Type: general
      – SubjectFull: INTRAOCULAR pressure
        Type: general
      – SubjectFull: CORNEA
        Type: general
      – SubjectFull: ORAL drug administration
        Type: general
      – SubjectFull: LASIK
        Type: general
    Titles:
      – TitleFull: Pressure-Induced Stromal Keratopathy after Surface Ablation Surgery.
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          Name:
            NameFull: Guedes, Jaime
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            NameFull: Vilares-Morgado, Rodrigo
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            NameFull: Brazuna, Rodrigo
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            NameFull: Costa Neto, Alexandre
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            NameFull: Mora-Paez, Denisse Josefina
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            NameFull: Faria-Correia, Fernando
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            NameFull: Ambrósio Jr., Renato
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            – D: 01
              M: 07
              Text: Jul2024
              Type: published
              Y: 2024
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              Value: 15
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            – TitleFull: Case Reports in Ophthalmology
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