Journal
JOURNAL OF CATARACT AND REFRACTIVE SURGERY
Volume 36, Issue 6, Pages 1036-1041Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jcrs.2010.03.032
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In a 21-year-old patient with persistent dense subepithelial haze after photorefractive keratectomy, unresponsive to retreatment, a stromal flap, 9.0 mm in diameter and approximately 60 mu m in thickness, was excised and an unsutured 9.0 mm donor Bowman layer was transplanted onto the stromal bed. The corrected distance visual acuity improved from 20/40 (0.5) before surgery to 20/18(1.2) with a scleral-supported contact lens 2 months after transplantation. With optical coherence tomography, the transplanted Bowman layer was seen as a fine white line bordering the anterior host stroma. No recurrence of stromal haze was seen throughout the 6-month follow-up. Isolated Bowman layer transplantation may be a new technique for the management of anterior stromal opacities or complicated epithelial wound healing such as persistent corneal haze after excimer laser surface ablation.
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