Implication of Corneal Refractive Surgery in Duchenne Muscular Dystrophy

Duchenne muscular dystrophy (DMD) is an X-linked disorder due to a dystrophin mutation and is the leading cause of muscular dystrophy. DMD presents with characteristic systemic effects, including severe muscular atrophy, cardiomyopathy, and ocular manifestations. Performing corneal refractive surger...

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Main Authors: Majid Moshirfar, Neil Kelkar, Yasmyne C. Ronquillo, Phillip C. Hoopes
Format: Article
Language:English
Published: Karger Publishers 2024-04-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://beta.karger.com/Article/FullText/533579
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author Majid Moshirfar
Neil Kelkar
Yasmyne C. Ronquillo
Phillip C. Hoopes
author_facet Majid Moshirfar
Neil Kelkar
Yasmyne C. Ronquillo
Phillip C. Hoopes
author_sort Majid Moshirfar
collection DOAJ
description Duchenne muscular dystrophy (DMD) is an X-linked disorder due to a dystrophin mutation and is the leading cause of muscular dystrophy. DMD presents with characteristic systemic effects, including severe muscular atrophy, cardiomyopathy, and ocular manifestations. Performing corneal refractive surgeries in patients with DMD raises concerns regarding patient positioning, risk of cataracts, and other comorbid conditions. Published reports of photorefractive keratectomy, laser-assisted in situ keratomileuses, and small incision lenticule extraction are lacking in this population. Here, we discuss a patient being evaluated for a corneal refractive surgery. This article also discusses the current understanding of DMD, known ocular manifestations, and factors to consider when evaluating a patient for potential corrective vision laser surgery.
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spelling doaj.art-c888c537453e49a399cae3f4543025042024-05-16T06:10:18ZengKarger PublishersCase Reports in Ophthalmology1663-26992024-04-0115137438210.1159/000533579533579Implication of Corneal Refractive Surgery in Duchenne Muscular DystrophyMajid Moshirfar0Neil Kelkar1Yasmyne C. Ronquillo2Phillip C. Hoopes3Hoopes Vision Research Center, Hoopes Vision, Draper, UT, USADepartment of Ophthalmology, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USAHoopes Vision Research Center, Hoopes Vision, Draper, UT, USAHoopes Vision Research Center, Hoopes Vision, Draper, UT, USADuchenne muscular dystrophy (DMD) is an X-linked disorder due to a dystrophin mutation and is the leading cause of muscular dystrophy. DMD presents with characteristic systemic effects, including severe muscular atrophy, cardiomyopathy, and ocular manifestations. Performing corneal refractive surgeries in patients with DMD raises concerns regarding patient positioning, risk of cataracts, and other comorbid conditions. Published reports of photorefractive keratectomy, laser-assisted in situ keratomileuses, and small incision lenticule extraction are lacking in this population. Here, we discuss a patient being evaluated for a corneal refractive surgery. This article also discusses the current understanding of DMD, known ocular manifestations, and factors to consider when evaluating a patient for potential corrective vision laser surgery.https://beta.karger.com/Article/FullText/533579duchenne muscular dystrophymuscular dystrophycataractslaser-assisted in situ keratomileusesphotorefractive keratectomysmall incision lenticule extraction
spellingShingle Majid Moshirfar
Neil Kelkar
Yasmyne C. Ronquillo
Phillip C. Hoopes
Implication of Corneal Refractive Surgery in Duchenne Muscular Dystrophy
Case Reports in Ophthalmology
duchenne muscular dystrophy
muscular dystrophy
cataracts
laser-assisted in situ keratomileuses
photorefractive keratectomy
small incision lenticule extraction
title Implication of Corneal Refractive Surgery in Duchenne Muscular Dystrophy
title_full Implication of Corneal Refractive Surgery in Duchenne Muscular Dystrophy
title_fullStr Implication of Corneal Refractive Surgery in Duchenne Muscular Dystrophy
title_full_unstemmed Implication of Corneal Refractive Surgery in Duchenne Muscular Dystrophy
title_short Implication of Corneal Refractive Surgery in Duchenne Muscular Dystrophy
title_sort implication of corneal refractive surgery in duchenne muscular dystrophy
topic duchenne muscular dystrophy
muscular dystrophy
cataracts
laser-assisted in situ keratomileuses
photorefractive keratectomy
small incision lenticule extraction
url https://beta.karger.com/Article/FullText/533579
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AT neilkelkar implicationofcornealrefractivesurgeryinduchennemusculardystrophy
AT yasmynecronquillo implicationofcornealrefractivesurgeryinduchennemusculardystrophy
AT phillipchoopes implicationofcornealrefractivesurgeryinduchennemusculardystrophy