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Central toxic keratopathy after PRK

In the February 2015 Blog Issue 2 Dr. Jesper Hjorthal, MD, PhD was featured highlighting the advantages of photorefractive keratectomy (PRK) over LASIK. In this issue, an unusual complication from PRK surfaces: central toxic keratopathy (CTK). Central toxic keratopathy is a rare complication that occurs after PRK or LASIK.

Steven Safran, MD reported a patient who developed central corneal opacification (haze) and thinning in both eyes 3 days after PRK. This case is the earliest manifestation of CTK ever reported after PRK. Although it took 3 months of hand holding this patient eventually achieved uncorrected visual acuity of 20/20-2 in the right eye and 20/20 in the left eye.

Dr. Safran noted that the above-all-do-no-harm is the best approach to treat CTK. According to Dr. Safran “aggressive treatment is neither required nor beneficial.”

Posted March 15, 2015

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