DR. GAURAV LUTHRA

DR. RUCHIKA PATTANAIK, DR. GAURAV LUTHRA

Abstract

To present a case of silent Epithelial Basement Membrane Dystrophy ,which was diagnosed following intraoperative bilateral spontaneous epithelial sloughing during Femtolasik surgery in clinically normal appearing eyes. Bilateral spontaneous epithelial sloughing was noted during flap repositioning. Blurring of vision in the early post operative period, progressive regression in refractive error due to irregular epithelial healing and epithelial edema led to the diagnosis of silent epithelial basement membrane dystrophy. Addition of topical hyperosmotics based on the clinical diagnosis led to resolution of clinical signs and symptoms. Spontaneous intraoperative epithelial sloughing during Lasik surgery may be the first sign of silent EBMD in previously asymptomatic and clinically normal appearing eyes. followed closely for complications like DLK , epithelial ingrowth and flap melt.