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Long-term success with PTK followed by toric contact lenses in a case with gelatinous droplet dystrophy

Poster Details

First Author: Z.Ozbek TURKEY

Co Author(s):    B. Yuksel   I. Durak                 

Abstract Details


To report and discuss the results of PTK and toric contact lens fit in a young man with gelatinous droplet dystrophy(GDD).


Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey.


A 21-year-old man had a penetrating keratoplasty in April 2006 for GDD in the right eye and was referred to us for recurrence on graft. Visual acuity was counting fingers OD and 0.8 OS. Slit-lamp exam revealed GDD recurrence over the nasal half of the graft OD and a central lump of GDD OS. Intraocular pressures and fundus exam were within normal limits. PTK was performed OD after obtaining informed consent in September 2008.


Visual acuity improved to 0.6 with -3.0-4.0x10 OD and remained constant for 2 years. The patient noted a decrease in vision in both eyes in 2010. Visual acuity was 0.1 OD and 0.3 OS. Slit-lamp exam revealed a second recurrence OD and an increase in the area of GDD OS. Bilateral PTK was performed this time in June 2010. Visual acuity improved to 0.6 OD (-2.0-4.5x15)and 0.7 (-1.5-5.00x130)OS. Two more lines were gained with glasses over contacts and patient agreed to wear contacts and glasses. No complications were noted for 5 years of follow-up.


PTK offers a good surface treatment for GDD with long-term success in terms of recurrence and visual gain Financial disclosure: None

Financial Disclosure:


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