BACKGROUND: We evaluated refractive corneal changes that occurred in w
omen who become pregnant after undergoing excimer laser photorefractiv
e keratectomy (PRK) for the treatment of myopia. METHODS: Refractive r
esults of 18 eyes of nine women who underwent PRK and became pregnant
during the follow-up period were reviewed. All eyes were followed for
a least 12 months after PRK. Subjective refraction, slit-lamp microsco
py, and intraocular pressure were measured at each follow-up examinati
on. RESULTS: Twelve of 18 eyes (66%) had myopic regression during the
follow-up period. The regression was associated with 1+ to 2+ corneal
haze in 10 of these 12 eyes (83.3%). The three women (6 eyes) who had
stable refractions after PRK became pregnant at least 5 months postope
ratively. The corneal haze and the associated myopic regression improv
ed in 50% of the eyes after delivery. CONCLUSION: Pregnancy seems to i
nduce effects on corneal wound healing following PRK.