March consultation #6

摘要

From the OCT image, it appears as though the opacity is a hypertrophic scar rather than haze within the stroma. The overlying epithelium is slightly thinned, and the resulting topography is quite regular. The UDVA is 20/16.Six months postoperatively, wound healing is not complete. Over the next 6 months. I would presume the scar would fade somewhat and thin slightly, resulting in less photophobia and hazy vision. I would recommend that the patient wait for natural improvement in visual acuity. If the patient does not accept this, I would suggest transepithelial ablation of the scar, probably performed as incremental trans-epithelial PTK. Preoperatively, the patient must be given clear and detailed information and told that spontaneous improvement might occur and that there is an increased risk for delayed wound healing, which could compromise the result.