There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.
To report two cases of laser in situ keratomileusis-induced neurotrophic epitheliopathy
with punctate epitheliopathy and rose bengal staining of the corneal flap.
Interventional case reports.
A 42-year-old woman and a 37-year-old man with no preoperative symptoms or signs of
dry eye developed dry eye symptoms and bilateral punctate epithelial erosions as well
as rose bengal staining of the corneal flaps after laser in situ keratomileusis. Neither
patient had less than 12 mm of wetting with the Schirmer test without anesthesia at
any time point between development and resolution of the flap surface abnormalities.
The flap surface abnormalities resolved approximately 6 months after laser in situ
Laser in situ keratomileusis-induced neurotrophic epitheliopathy may be attributable
to loss of trophic influence from severed corneal nerve trunks. The condition typically
resolves approximately 6 months after laser in situ keratomileusis or laser in situ