Radial keratotomy complicated by sterile keratitis and corneal perforation. Histopathologic case report and review of complications

Daniel Karr, R. D. Grutzmacher, M. J. Reeh

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

A 35-year-old physician had radial keratotomy (RK) for correction of myopia. Combined radial and transecting circumferential incisions were used which resulted in wound gape, persistent epithelial defect, and severe sterile keratitis. Progressive corneal decompensation required an initial patch graft followed by a penetrating keratoplasty four months after RK. Histopathology of the cornea demonstrated epithelial edema and persistent incisional epithelial plug formation, deep and superficial vascularization, variable incision depth (superficial to full thickness), endothelial cell loss, and inflammatory cell infiltration at all levels of the cornea. A review of the reported complications of RK is included in the discussion in this case.

Original languageEnglish (US)
Pages (from-to)1244-1248
Number of pages5
JournalOphthalmology
Volume92
Issue number9
StatePublished - 1985
Externally publishedYes

Fingerprint

Corneal Perforation
Radial Keratotomy
Keratitis
Cornea
Penetrating Keratoplasty
Myopia
Edema
Endothelial Cells
Physicians
Transplants
Wounds and Injuries

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Radial keratotomy complicated by sterile keratitis and corneal perforation. Histopathologic case report and review of complications. / Karr, Daniel; Grutzmacher, R. D.; Reeh, M. J.

In: Ophthalmology, Vol. 92, No. 9, 1985, p. 1244-1248.

Research output: Contribution to journalArticle

@article{9129c17007274631929feb77fe3c00a8,
title = "Radial keratotomy complicated by sterile keratitis and corneal perforation. Histopathologic case report and review of complications",
abstract = "A 35-year-old physician had radial keratotomy (RK) for correction of myopia. Combined radial and transecting circumferential incisions were used which resulted in wound gape, persistent epithelial defect, and severe sterile keratitis. Progressive corneal decompensation required an initial patch graft followed by a penetrating keratoplasty four months after RK. Histopathology of the cornea demonstrated epithelial edema and persistent incisional epithelial plug formation, deep and superficial vascularization, variable incision depth (superficial to full thickness), endothelial cell loss, and inflammatory cell infiltration at all levels of the cornea. A review of the reported complications of RK is included in the discussion in this case.",
author = "Daniel Karr and Grutzmacher, {R. D.} and Reeh, {M. J.}",
year = "1985",
language = "English (US)",
volume = "92",
pages = "1244--1248",
journal = "Ophthalmology",
issn = "0161-6420",
publisher = "Elsevier Inc.",
number = "9",

}

TY - JOUR

T1 - Radial keratotomy complicated by sterile keratitis and corneal perforation. Histopathologic case report and review of complications

AU - Karr, Daniel

AU - Grutzmacher, R. D.

AU - Reeh, M. J.

PY - 1985

Y1 - 1985

N2 - A 35-year-old physician had radial keratotomy (RK) for correction of myopia. Combined radial and transecting circumferential incisions were used which resulted in wound gape, persistent epithelial defect, and severe sterile keratitis. Progressive corneal decompensation required an initial patch graft followed by a penetrating keratoplasty four months after RK. Histopathology of the cornea demonstrated epithelial edema and persistent incisional epithelial plug formation, deep and superficial vascularization, variable incision depth (superficial to full thickness), endothelial cell loss, and inflammatory cell infiltration at all levels of the cornea. A review of the reported complications of RK is included in the discussion in this case.

AB - A 35-year-old physician had radial keratotomy (RK) for correction of myopia. Combined radial and transecting circumferential incisions were used which resulted in wound gape, persistent epithelial defect, and severe sterile keratitis. Progressive corneal decompensation required an initial patch graft followed by a penetrating keratoplasty four months after RK. Histopathology of the cornea demonstrated epithelial edema and persistent incisional epithelial plug formation, deep and superficial vascularization, variable incision depth (superficial to full thickness), endothelial cell loss, and inflammatory cell infiltration at all levels of the cornea. A review of the reported complications of RK is included in the discussion in this case.

UR - http://www.scopus.com/inward/record.url?scp=0021924814&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021924814&partnerID=8YFLogxK

M3 - Article

VL - 92

SP - 1244

EP - 1248

JO - Ophthalmology

JF - Ophthalmology

SN - 0161-6420

IS - 9

ER -