Photorefractive keratectomy in a patient with epithelial basement membrane dystrophy.

PURPOSE To report a case of excimer laser photorefractive keratectomy (PRK) in a patient with epithelial basement membrane dystrophy (EBMD). METHODS Interventional case report. RESULTS A 36-year-old male with clinical manifestations of EBMD underwent bilateral, simultaneous PRK for low myopia correction. A delay (up to 17 days) in the epithelial healing process with unstable epithelium was observed. During the first three postoperative months a visually significant subepithelial haze was developed in both eyes. One year postoperative, an improvement in haze formation and visual acuity in both eyes was found. CONCLUSIONS PRK in patients with EBMD could result in favorable refractive and clinical outcome.