Photorefractive keratectomy (PRK) with a 193-nm excimer laser has been
shown not to destroy endothelial cells in vivo. However, this laser c
ould damage endothelial cell metabolism, and result in damage over a l
onger term. In this paper, a comparison between the number and shape o
f corneal endothelial cells has been performed in 25 patients before a
nd 6 months after PRK. These patients underwent treatment with myopic
correction ranging from 2.5 to 17 dpt and with an estimated corneal th
inning ranging from 25 to 170 mu m. No significant changes in the numb
er (p = 0.167) and shape (p = 0.075) of endothelial cells have been fo
und. These results show that there are no long-term damages after PRK
even in severely myopic eyes.