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May 23, 2017Cornea

Corneal Breakthrough Haze After Photorefractive Keratectomy With Mitomycin C: Incidence and Risk Factors

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Authors

IKIgor KaisermanBen-Gurion University of the NegevNSNa'ava SadiBarzilai Medical CenterMMMichael MimouniTechnion – Israel Institute of Technology

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Implication

Retrospective study reveals higher corneal haze risk in high refractive error corrections after PRK, suggesting longer mitomycin C exposure improves outcomes.

Key Points

  • To identify preoperative and intraoperative risk factors influencing the incidence, onset time, and severity of breakthrough corneal haze following photorefractive keratectomy with mitomycin C.
  • Retrospective analysis evaluated 7,535 eyes (N=3,854 patients; mean age 26 ± 6 years; 55% men) undergoing PRK with intraoperative mitomycin C (MMC) at a single center with 118 ± 110 days follow-up.
  • Eyes were stratified by baseline refraction categories (myopia, astigmatism, hyperopia), operative duration (<40 vs ≥40 seconds), and MMC exposure duration (<40 vs ≥40 seconds).
  • Breakthrough haze incidence was significantly elevated in high vs low-to-moderate myopia (2.1% vs 1.1%, P=0.002), high vs low astigmatism (3.5-fold higher, P<0.05), and hyperopia vs myopia (10.8% vs 1.3%, P=0.0001).
  • In moderate myopia, MMC application duration ≥40 seconds achieved a lower haze incidence than <40 seconds (0% vs 1.3%, P=0.03).
  • Mild early haze peaked at 68.8 ± 6 days postoperatively, whereas severe late haze peaked at 115 ± 17 days (P=0.02).

Cite This Study

Kaiserman et al. (2017) studied this question.

synapsesocial.com/papers/6a70c504e71d69abee08d4dchttps://doi.org/10.1097/ico.0000000000001231
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Corneal Haze Development After PRK Is Regulated by Volume of Stromal Tissue Removal1998 · 221 citations
  2. 2Randomized dose-response analysis of mitomycin-C to prevent haze after photorefractive keratectomy for high myopia2013 · 45 citations
  3. 3Late Corneal Scarring After Photorefractive Keratectomy Concurrent With Development of Systemic Lupus Erythematosus2002 · 39 citations
  4. 4A Prospective Bilateral Comparison of Epi-LASIK and LASEK for Myopia2008 · 30 citations
  5. 5Effects of 50% Ethanol and Mechanical Epithelial Debridement on Corneal Structure Before and After Excimer Photorefractive Keratectomy1997 · 43 citations