J Korean Ophthalmol Soc.  2020 Nov;61(11):1364-1367. 10.3341/jkos.2020.61.11.1364.

Corneal Keloid Case after Laser-assisted in-situ Keratomileusis Surgery in Korea

• Kim JH
• Park Y
• Cho KJ

• KMID: 2511274
• DOI: http://doi.org/10.3341/jkos.2020.61.11.1364

Abstract

Purpose
We report a patient diagnosed with corneal keloid who had laser-assisted in-situ keratomileusis (LASIK).
Case summary
A 41-year-old female presented with LASIK 15 years ago. Seven years later, she presented with a growing white corneal mass located in the lower periphery of the right cornea. The best-corrected visual acuity was 0.6 in the right eye and 0.7 in the left eye, and the white lesion was observed in the right cornea at the 5 o’clock position. Anterior segment optical coherence tomography revealed that the mass was invaded by the upper stroma and epithelium, and Bowmans’s membrane was destroyed. Histopathologic examination showed fusiform fibroblasts and disorganized collagen. Taken together, these findings suggested corneal keloids.
Conclusions
Corneal keloids is a rare disease that develops, sometimes, after LASIK surgery. Although there have been cases of this reported in the literature, there had yet to be a case of LASIK-induced corneal keloids in Korea until this study, reported here.

Keyword

Cornea keloid; Laser-assisted in situ keratomileusis (LASIK)