Korean J Ophthalmol.  2011 Jun;25(3):206-209. 10.3341/kjo.2011.25.3.206.

Conventional Epi-LASIK and Lamellar Epithelial Debridement in Myopic Patients with Dermatologic Keloids

• Lee JY
• Youm DJ
• Choi CY

• KMID: 1010030
• DOI: http://doi.org/10.3341/kjo.2011.25.3.206

Abstract

We report the outcome of conventional epipolis laser in situ keratomileusis (Epi-LASIK, flap-on) and lamellar epithelial debridement (LED; Epi-LASIK, flap-off) in myopic patients with dermatologic keloids. Three patients, who were all noted to be susceptible to keloid scarring, received conventional Epi-LASIK in their right eyes and LED in their left eyes. The patients were followed-up for 6 to 21 months after their surgeries, and the outcomes were then evaluated. In case 1, the preoperative spherical equivalent (SE) was -6.5 diopters (D) in the right eye (OD) and -6.25 D in the left eye (OS). At 21 months postoperatively, the uncorrected visual acuity (UCVA) was 20 / 12.5 in both eyes. In case 2, the preoperative SE was -5.25 (OD) / -6.00 (OS). After six months, the postoperative UCVA was 20 / 12.5 in both eyes. In case 3, the preoperative SE was -4.5 (OD) / -2.0 (OS). The UCVA at the six-month follow-up was 20 / 12.5 in both eyes. No adverse events, including corneal haze, occurred in any of the patients. All three of our patients reported excellent visual outcomes following both conventional Epi-LASIK and LED, despite their histories of keloid formation. The present cases suggest that both Epi-LASIK and LED may be safe and effective techniques for myopic patients with dermatologic keloids.

Keyword

Epipolis laser in situ keratomileusis; Keloid; Lamellar epithelial debridement

MeSH Terms

Adult
*Debridement
Eyeglasses
Female
Follow-Up Studies
Humans
Keloid/complications/physiopathology/*surgery
Keratomileusis, Laser In Situ/*methods
Myopia/complications/physiopathology/*surgery
Postoperative Period
Skin Diseases/complications/physiopathology/*surgery
Treatment Outcome
Visual Acuity

Figure

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  Fig. 1 Photographs of a 28-year-old woman (case 2). (A) Keloid scar on the left shoulder. (B) No subepithelial corneal haze in either eye at six months postoperatively. OD = right eye; OS = left eye.

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  Fig. 2 Photographs of a 32-year-old woman (case 3). (A) Hypertrophied exuberant scar on the lower abdomen. (B) At six months after the surgery, no abnormal findings were observed in either eye. OD = right eye; OS = left eye.

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