Late Corneal Scarring After Photorefractive Keratectomy Concurrent With Development of Systemic Lupus Erythematosus

ABSTRACT PURPOSE: To report a case of late-onset corneal haze following previous photorefractive keratectomy (PRK) concurrent with the development of systemic lupus erythematosus. METHODS: Single case report and review of medical literature. RESULTS: A 41 -year-old woman underwent uneventful bilateral, non-simultaneous photorefractive keratectomy (PRK) with retreatment of the right eye after 1 year. Two months after retreatment, the patient presented with headaches and mental status changes and was diagnosed with systemic lupus erythematosus. Severe reticular corneal scarring developed in the right eye 1 year after retreatment. After the patient's disease was well controlled on a maintenance dose of hydroxychloroquine 200 mg twice a day, mechanical debridement was performed on the right cornea with a marked decrease in corneal haze and improved best spectacle-corrected vision. CONCLUSION: Patients who manifest with autoimmune disorders such as systemic lupus erythematosus may be at greater risk for developing dense, reticular corneal scars after PRK. [J Refract Surg 2002;18:750-752]