Subepithelial reticular cicatrization following radial keratotomy in a patient with inactive trachoma.

Background: Opacification of the clear optical zone following radial keratotomy has not been observed before.

Methods And Results: The authors noted the appearance of subepithelial dense white reticular cicatrization in the central area following radial keratotomy in a patient with inactive trachoma and clear cornea. The corneal changes resulted in regression of the surgical effect and decrease in visual acuity. A good visual result was obtained by performing homoplastic myopic keratomileusis in situ. Clinical and histopathological findings are presented.

Conclusions: Patients undergoing radial keratotomy should be carefully screened for inactive trachoma which may contribute toward postoperative reticulate opacity of the central cornea.