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    Epithelial thickness mapping in the care of refractive surgery patients

    Knowledge of thickness patterns may be beneficial in close-call judgements



    1.     Kanellopoulos AJ, Asimellis G. Anterior segment optical coherence tomography – assisted topographic corneal epithelial thickness distribution imaging of a keratoconus patient. Case Rep Ophthalmol. 2013;4:74-78.

    2.     Schallhorn JM, et al. Distinguishing between contact lens warpage and ectasia: Usefulness of optical coherence tomography epithelial thickness mapping. J Cataract Refract Surg. 2017;43:60–66

    3.     Simon G, et al. Optics of the corneal epithelium. Refract Corneal Surg. 1993;9(1):42-50.

    4.     Reinstein DZ, et al. Epithelial Thickness Profile Changes Induced by Myopic LASIK as Measured by Artemis Very High-frequency Digital Ultrasound. J Refract Surg. 2009 May ;25(5):444–450.

    5.     Lohmann CP, Guell JL. Regression after LASIK for the treatment of myopia: the role of the corneal epithelium. Semin Ophthalmol. 1998;13:79–82.

    6.     Ganesh S , Brar S , Relekar KJ. Epithelial Thickness Profile Changes Following Small Incision Refractive Lenticule Extraction (SMILE) for Myopia and Myopic Astigmatism. J Refract Surg. 2016,32(7):473-482.

    7.     Reinstein DZ1, et al. Epithelial thickness after hyperopic LASIK: three-dimensional display with Artemis very high-frequency digital ultrasound. J Refract Surg. 2010 Aug;26(8):555-64

    8.     Reinstein DZ, Silverm, et al. Very high-frequency ultrasound corneal analysis identifies anatomic correlates of optical complications of lamellar refractive surgery: anatomic diagnosis in lamellar surgery. Ophthalmology. 1999;106:474–482

    9.     Møller-Pedersen T, et al. Confocal microscopic characterization of wound repair after photorefractive keratectomy. Invest Ophthalmol Vis Sci. 1998;39:487-501.


    Dr Sheetal Maharishi (Brar). M.B.B.S, MS, FPRS, FC

    E: [email protected]

    Dr Maharishi (Brar) is a phacoemulsification and refractive and cornea surgeon at Nethradhama Super Specialty Eye Hospital in Bangalore, India. She has no financial disclosures to make.





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