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- W1968535814 abstract "Une femme de 48 ans sans antécédent clinique et paraclinique particulier a bénéficié d’une intervention de Lasik pour corriger sa myopie. Au dixième jour postopératoire, la patiente décrit une baisse d’acuité visuelle associée à une photophobie. L’examen en lampe à fente, montrant des irrégularités de l’épithélium cornéen, est complété par une microscopie confocale qui met en évidence des lésions évocatrices de dystrophie de Cogan. Un traitement par larmes artificielles et sérum autologue est administré et permet une amélioration des symptômes. La dystrophie de Cogan révélée après chirurgie réfractive est rare. Son diagnostic doit être évoqué en cas d’érosions cornéennes postopératoires spontanées ou d’irrégularités de l’épithélium sans érosion, avec au besoin l’aide de la microscopie confocale. A 48-year-old woman with no significant past history underwent bilateral simultaneous laser in situ keratomileusis for correction of her myopia. On the tenth postoperative day, the patient complained of visual decrease and photophobia. Slit lamp exam showed corneal epithelial irregularities. Confocal microscopy was performed and revealed a characteristic appearance of epithelial basement membrane dystrophy (EBMD). The patient was successfully treated with artificial tears and autologous serum eyedrops. EBMD may be missed before LASIK surgery, even after a careful pre-operative examination. Exacerbation of EBMD after LASIK surgery is rare. It should be considered when unexplained corneal epithelial defects or irregularities occur following LASIK. Confocal microscopy is very useful to confirm the diagnosis." @default.
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- W1968535814 date "2013-10-01" @default.
- W1968535814 modified "2023-10-03" @default.
- W1968535814 title "Dystrophie de Cogan révélée après chirurgie réfractive de type Lasik" @default.
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- W1968535814 doi "https://doi.org/10.1016/j.jfo.2012.11.017" @default.
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