Femtosecond laser-assisted keratoplasty combined with cataract extraction in a patient with keratoconus and oculocutaneous albinism.

Abstract

In this study, we present a case of a 58-year-old male patient with oculocutaneous albinism, keratoconus, total cataract, and glaucoma originating from father-daughter incest. He underwent femtosecond laser-assisted keratoplasty with "open-sky" cataract extraction and posterior chamber intraocular lens implantation. One week after surgery his uncorrected visual acuity improved from hand motion to 20/200. Six months later corneal K values were 49.1 D in the flat and 50.0 D in the steep meridian. The graft had a central corneal thickness of 488 µm and was well fitted. The patient's quality of life improved substantially due to the surgery. To the best of our knowledge, this is the first report on the association of albinism with advanced keratoconus, total cataract, and glaucoma. Moreover, no previous report on femtosecond laser-assisted keratoplasty using VisuMax femtosecond laser system with "open-sky" cataract extraction is available in the literature. The VisuMax femtosecond laser-assisted keratoplasty ensures fast patient rehabilitation in such challenging cases.

• Authors: Dorottya Pásztor, Bence Lajos Kolozsvári, Gergely Losonczy, Mariann Fodor
• Journal: Indian journal of ophthalmology (Indian J Ophthalmol) Vol. 64 Issue 3 Pg. 246-8 (Mar 2016) ISSN: 1998-3689 [Electronic] India
• PMID: 27146942 (Publication Type: Case Reports, Journal Article)

Topics

• Albinism, Oculocutaneous (complications)
• Cataract Extraction (methods)
• Corneal Transplantation (methods)
• Humans
• Keratoconus (complications, surgery)
• Laser Therapy (methods)
• Male
• Middle Aged
• Visual Acuity