Epithelial Map Can Prevent Misdiagnosis


Dr. Malena Parmeggiani, Medical Director at Centrovision Clinic in Mendoza, Argentina dives into a fascinating refractive surgery case, highlighting key lessons for Corneal Surgeons:

  • Topography scales guide us, but always check the values.
  • Epithelial map can prevent misdiagnosis - this isn’t Keratoconus, despite appearances.
  • Topography-guided treatments can enhance visual quality beyond pre-op levels.

For this case, trans-epithelial PRK was the optimal approach, avoiding the risks of mechanical epithelial removal. Thanks to Dan Weinstein for insights on epithelial thickening. Continuous learning is vital in providing the best Patient Care.

Financial Disclosures: None


References:

Waring, G. O., and Durrie, D. S. Corneal Topography: The State of the Art. Springer Science & Business Media, 2006.
Reinstein, D. Z., Archer, T. J., and Gobbe, M. "Epithelial Thickness Profile as a Diagnostic Marker in Keratoconus." Journal of Refractive Surgery, vol. 25, no. 7, 2009, pp. 604-610.
Kanellopoulos, A. J. "Topography-Guided Customized Refractive Surgery." Journal of Refractive Surgery, vol. 28, no. 11, 2012, pp. 837-848.
Fadlallah, A., Fahed, D., Khalil, K., Dunia, I., and Menassa, J. "Transepithelial Photorefractive Keratectomy: Clinical Results." Journal of Cataract & Refractive Surgery, vol. 37, no. 10, 2011, pp. 1852-1857.

KC

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