C. Rogers et al., PHOTOTHERAPEUTIC KERATECTOMY FOR REIS BUCKLERS CORNEAL-DYSTROPHY, Australian and New Zealand journal of ophthalmology, 21(4), 1993, pp. 247-250
Superficial keratectomy, penetrating and lamellar keratoplasty have al
l been advocated when intervention in Reis Bucklers' corneal dystrophy
is necessary because of diminished visual acuity. In this study, 11 e
yes were treated by phototherapeutic keratectomy with an excimer laser
. Two eyes had previously been treated by penetrating keratoplasty. Th
e visual acuity improved in all eyes, from an average of 6/60 to 6/9 w
ith complete cessation of recurrent erosions. The technique was modifi
ed, with experience, to minimise the hyperopic shift that occurs with
this procedure. Phototherapeutic keratectomy has significant advantage
s over other procedures and is now the procedure of choice once surger
y is required in Reis Bucklers' dystrophy.