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CASE REPORT
Year : 2014  |  Volume : 4  |  Issue : 3  |  Page : 133-136

Undercorrection after photorefractive keratectomy in Wilson's disease


1 Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan
2 Su's Eye Clinic, New Taipei City, Taiwan

Correspondence Address:
Hsin-Chiung Lin
Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University, Number 5, Fu-Hsing Street, Kweishan, Taoyuan 333
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.tjo.2013.09.005

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A 34-year-old woman with Wilson’s disease and prominent Kayser–Fleischer rings had uncomplicated photorefractive keratectomy (PRK) in both eyes. Her preoperative refraction was −3.25 −2.50 × 180 in the right eye and −3.25 −1.50 × 180 in the left eye. The corneal topographic pattern showed symmetric bow tie with-the-rule astigmatism, and central corneal thickness was 550 μm in both eyes. Three months postoperatively, her refraction was −1.00 −1.25 × 180 in the right eye and −1.50 −1.00 × 180 in the left eye. The following enhancement surgery resulted in a stable and satisfactory refraction in 2 years. We conclude that Wilson’s disease might not be a contraindication for PRK.


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