2008, Number 6
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Rev Mex Oftalmol 2008; 82 (6)
Hallazgos mediante microscopía confocal en pacientes postoperados de LASIK tratados con antiinflamatorios no esteroideos (AINES)
Ramírez FM, Martinez MY, Naranjo-Tackman R
Language: Spanish
References: 23
Page: 349-351
PDF size: 71.21 Kb.
ABSTRACT
Purpose: To evaluate, by using confocal microscopy, the post-LASIK stromal findings in patients treated with non steroids anti-inflammatory agents (NSAE).
Methods: 24 eyes of 12 patients underwent LASIK, non steroids an anti-inflammatory agent was used in the postoperatory treatment. Confocal microscopy was done at 1 week and 1 month after surgery.
Results: Corneal epithelium and stromal flap were normal in 100% of the postoperatory corneas. Corneal flap interfacewas found in all corneas by the presence of hiperreflective particles. At the retroablation zone after LASIK, activated keratocites were found in a stromal portion thickness of 26.4 ± 15.7 µ at 1 week and 26.4 ± 15.7 µ at 1 month respectively.
Conclusion: Confocal microscopy findings after LASIK in patients treated with non steroids anti-inflammatory agents are similar than previous reports using steroids agents.
REFERENCES
Pallikaris IG, Papatzanaki ME, Stathi EZ, Frenschock O, Georgiadis A. Laser in situ keratomileusis. Lasers in Surgery & Medicine 1990; 10:463-8.
Knorz MC, Liermann A, Wiesinger B, Seiberth V, Liesenhoff H. [Laser in situ keratomileusis (LASIK) for correction of myopia]. Ophthalmologe 1997; 94:775-9.
Hamilton DR, Manche EE, Rich LF, Maloney RK. Steroidinduced glaucoma after laser in situ keratomileusis associated with interface fluid. Ophthalmology 2002; 109:659-65.
Lautebach S, Funk J, Reinhard T, Pache M. [Steroid glaucoma after laser in situ keratomileusis]. Klin Monatsbl Augenheilkd 2007; 224:438-40.
Erie JC, Patel SV, McLaren JW y cols. Effect of myopic laser in situ keratomileusis on epithelial and stromal thickness: a confocal microscopy study. Ophthalmology 2002; 109:1447-52.
Ramirez M, Hernandez-Quintela E, Sanchez-Huerta V, Naranjo- Tackman R. Confocal microscopy of corneal flap microfolds after LASIK. J Refract Surg 2006; 22:155-8.
Ramirez M, Hernandez-Quintela E, Naranjo-Tackman R. A comparative confocal microscopy analysis after LASIK with the Intra Lase femtosecond laser vs Hansatome microkeratome. J Refract Surg 2007; 23:305-7.
Vesaluoma MH, Peraz-Santoja JJ, Linna TU, Petroll WM y cols. Confocal microscopy after myopic LASIK. Invest Ophthalmol Vis Sci 1999; 40 (ARVO abstract):S897.
Mitooka K, Ramirez M, Maguire LJ y cols. Keratocyte density of central human cornea after laser in situ keratomileusis. Am J Ophthalmol 2002; 133:307-14.
Kauffmann T, Bodanowitz S, Hesse L, Kroll P. Corneal reinnervation after photorefractive keratectomy and laser in situ keratomileusis: an in vivo study with a confocal videomicroscope. Ger Jf Ophthalmol 1996; 5:508-12.
Lee BH, McLaren JW, Erie JC, Hodge DO, Bourne WM. Reinnervation in the cornea after LASIK. Invest Ophthalmol Vis Sci 2002; 43:3660-4.
Linna TU, Perez-Santonja JJ, Tervo KM, Sakla HF y cols. Recovery of corneal nerve morphology following laser in situ keratomileusis. Experimental Eye Research 1998; 66:755-63.
Aras C, Ozdamar A, Bahcecioglu H, Karacorlu M, Sener B, Ozkan S. Decreased tear secretion after laser in situ keratomileusis for high myopia. J Refract Surg 2000; 16:362-4.
Wilson SE. Laser in situ keratomileusis-induced (presumed) neurotrophic epitheliopathy. Ophthalmology 2001; 108:1082-7.
Hirst LW, Vandeleur KW, Jr. Laser in situ keratomileusis interface deposits. J RefracSurg 1998; 14:653-4.
Dawson DG, Holley GP, Geroski DH, Waring GO, 3rd y cols. Ex vivo confocal microscopy of human LASIK corneas with histologic and ultrastructural correlation. Ophthalmology 2005; 112:634-44.
Kratz-Owens KL, Hageman GS, Schanzlin DJ. An in-vivo technique for monitoring keratocyte migration following lamellar keratoplasty. Refrac Corneal Surg 1992; 8:230-4.
Chew SJ, Beuerman RW, Kaufman HE, McDonald MB. In vivo confocal microscopy of corneal wound healing after excimer laser photorefractive keratectomy. CLAO J 1995; 21:273-80.
Prydal JI, Franc F, Dilly PN, Kerr Muir MG, Corbett MC, Marshall J. Keratocyte density and size in conscious humans by digital image analysis of confocal images. Eye 1998; 12:337-42.
Davidson RS, Brandt JD, Mannis MJ. Intraocular pressureinduced interlamellar keratitis after LASIK surgery. J Glaucoma 2003; 12:23-6.
Belin MW, Hannush SB, Yau CW, Schultze RL. Elevated intraocular pressure-induced interlamellar stromal keratitis. Ophthalmology 2002; 109:1929-33.
Nordlund ML, Grimm S, Lane S, Holland EJ. Pressure-induced interface keratitis: a late complication following LASIK. Cornea 2004; 23:225-34.
Galal A, Artola A, Belda J y cols. Interface corneal edema secondary to steroid-induced elevation of intraocular pressure simulating diffuse lamellar keratitis. J Refract Surg 2006; 22:441-7.