ESCRS - PO0690 - Unstable Refractions In Patients With A Variety Of Anterior Segment Surgeries After Sleeping On Their Faces

Unstable Refractions In Patients With A Variety Of Anterior Segment Surgeries After Sleeping On Their Faces

Published 2023 - 41st Congress of the ESCRS

Reference: PO0690 | Type: Free paper | DOI: 10.82333/j578-x779

Authors: Raoul Alexandre Saint Jean Riquelme* 1 , Francis Price 2 , Marianne Price 2 , Kyle Den Beste 3 , Shawn Iverson 4

1Saint-Jean & Castellà Institut Oftalmologic,Reus,Spain;Hospital Alt Penedes Garraf,Vilanova,Spain;Aixel Vision,Aix en Provence,Spain;Clinique Monticelli,Marseille,Spain, 2PriceVision Group,Indianapolis,United States, 3Orlando Lasik Vision,Orlando,United States, 4University of South Carolina,West Palm Beach,United States

Purpose

To present a series of 5 cases with fluctuating refractions and topographies after a variety of anterior segment surgeries secondary to sleeping on stomach/ faces.

Setting

We retrospectively reviewed the medical records of 5 patients with a history of sleeping on the face/stomach and having fluctuating refractions. Baseline diagnosis, previous surgeries, refractions, topography and tomography were evaluated. Unstable refractions were identified by comparing manifest refractions over time.

Methods

Surgeries performed prior to the diagnosis of sleepingon face/stomach included phacoemulsication, phacoemulsification with femtosecond laser-assisted keratotomy (FSAK), Descemet’s Membrane Endothelial Keratoplasty (DMEK), Laser in Situ Keratomileusis (LASIK), and Descemet’s Stripping Endothelial Keratoplasty (DSEK) under failed penetrating Keratoplasty (PK)

Results

 On learning the patients slept on their face/stomach and they were advised to change their sleeping habits to not do that. Three patients changed and the refractions stabilize with one reverting back to minimal astigmatism. Two patients refused to accept the sleeping position as contributing to the instability

Conclusions

Anterior segment surgeons should be aware of the risk of unstable refractions and corneal warpage secondary to sleeping on the face/stomach. Satisfactory results can be expected once the nocturnal habit is avoided.