Corneal opacities after small-incision lenticule extraction

TY - JOUR

T1 - Corneal opacities after small-incision lenticule extraction

AU - Hjortdal, Jesper

AU - Daya, Sheraz

AU - Kweon Kim, Eung

AU - Sekundo, Walter

AU - Ganesh, Sri

AU - Brar, Sheetal

AU - Moshirfar, Majid

AU - Hansen, Annika M

AU - Payne, Carter J

N1 - Copyright © 2022 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.

PY - 2022/9/1

Y1 - 2022/9/1

N2 - reveals hyperreflective small opacities in the anterior one-third of the corneal stroma (Figures 1 and 2). No other abnormalities are seen. The scotopic pupil sizes are 6.41 and 6.73 mm. Straylight measurements are within normal limits. Higher-order aberrations (HOAs) measure for the right eye (6.03 mm pupil) 0.818 mm and for the left eye (6.17 mm pupil) 0.560 mm. The corneal Scheimpflug tomography quad maps for both eyes are shown in Supplemental Figures 1 and 2 (http://links.lww.com/JRS/A663, http://links.lww.com/JRS/A664). What is your diagnosis or are additional diagnostic methodologies needed to establish a diagnosis? What is your treatment advice for this patient? A 36-year-old woman was referred to our clinic in October 2021 with suboptimal vision at intermediate and near distances and halos and photophobia after a small-incision lenticule extraction (SMILE) in December 2019. The patient needs to increase font size of her computer to 150% to read text, but images still appear blurred. She indicates that sunglasses seem to improve her contrast. Preoperatively, her refractive error was -2.5 diopters (D) and -2.25 D for right and left eyes. The optical zone size of the SMILE procedure was 6.8 mm. There is no further information available on the peroperative course of the SMILE procedure. Her uncorrected distance visual acuity (UDVA) is 20/20 in both eyes and does not improve with correction. The Schirmer tear test is 14 to 13 mm.

AB - reveals hyperreflective small opacities in the anterior one-third of the corneal stroma (Figures 1 and 2). No other abnormalities are seen. The scotopic pupil sizes are 6.41 and 6.73 mm. Straylight measurements are within normal limits. Higher-order aberrations (HOAs) measure for the right eye (6.03 mm pupil) 0.818 mm and for the left eye (6.17 mm pupil) 0.560 mm. The corneal Scheimpflug tomography quad maps for both eyes are shown in Supplemental Figures 1 and 2 (http://links.lww.com/JRS/A663, http://links.lww.com/JRS/A664). What is your diagnosis or are additional diagnostic methodologies needed to establish a diagnosis? What is your treatment advice for this patient? A 36-year-old woman was referred to our clinic in October 2021 with suboptimal vision at intermediate and near distances and halos and photophobia after a small-incision lenticule extraction (SMILE) in December 2019. The patient needs to increase font size of her computer to 150% to read text, but images still appear blurred. She indicates that sunglasses seem to improve her contrast. Preoperatively, her refractive error was -2.5 diopters (D) and -2.25 D for right and left eyes. The optical zone size of the SMILE procedure was 6.8 mm. There is no further information available on the peroperative course of the SMILE procedure. Her uncorrected distance visual acuity (UDVA) is 20/20 in both eyes and does not improve with correction. The Schirmer tear test is 14 to 13 mm.

KW - Adult

KW - Corneal Opacity

KW - Corneal Stroma

KW - Corneal Surgery, Laser

KW - Female

KW - Humans

KW - Lasers, Excimer

KW - Myopia

KW - Refraction, Ocular

UR - http://www.scopus.com/inward/record.url?scp=85137127143&partnerID=8YFLogxK

U2 - 10.1097/j.jcrs.0000000000001037

DO - 10.1097/j.jcrs.0000000000001037

M3 - Comment/debate/letter to the editor

C2 - 36026475

SN - 0886-3350

VL - 48

SP - 1097

JO - Journal of cataract and refractive surgery

JF - Journal of cataract and refractive surgery

IS - 9

ER -