Granular Corneal Dystrophy Manifesting after Radial Keratotomy

Sepehr Feizi, Mohammad Pakravan, Alireza Baradaran-Rafii, Shahin Yazdani

Abstract


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Purpose: To report manifestation of granular corneal dystrophy after radial keratotomy (RK).

Case Report: A 32-year-old man presented with white radial lines in both corneas. He had undergone uncomplicated RK in both eyes 8 years ago. Preoperative refraction had been OD: -3.5 -0.75@180 and OS: -3.0 -0.5@175. Uncorrected visual acuity was OD: 8/10 and OS: 7/10; best corrected visual acuity was 9/10 in both eyes with OD: -0.5 -0.5@60 and OS: -0.75 -0.5@80. Slit lamp examination revealed discrete well-demarcated whitish lesions with clear intervening stroma in the central anterior cornea consistent with granular dystrophy. Similar opacities were present within the RK incisions.

Conclusion: Granular dystrophy deposits may appear within RK incisions besides other previously reported locations.


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