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Archivos de la Sociedad Española de Oftalmología

Print version ISSN 0365-6691


HUERVA, V.  and  MATEO, A.J.. Posterior polymorphous dystrophy and LASIK. Arch Soc Esp Oftalmol [online]. 2008, vol.83, n.10, pp.607-613. ISSN 0365-6691.

Objective/Method: A 50-year-old hyperopic woman requested information about refractive surgery. Vesicle and band lesions at Descemet’s membrane and endothelium were suggestive of posterior polymorphous dystrophy (PPD). Lower than normal endothelial cell densities were detected. A corneal refractive procedure was not recommended in this case. Results/Conclusions: The presence of vesicles and bands at Descemet’s membrane and endothelium is suggestive of PPD. Specular microscopy is mandatory in such patients, although corneal decompensation is not evident. A low endothelial cell count may be a contraindication for a hyperopic LASIK procedure in cases of PPD because of the possible risk of corneal decompensation.

Keywords : Posterior Polymorphous Dystrophy; PPD; posterior corneal dystrophies; Fuchs corneal dystrophy; LASIK; hyperopia.

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