Case ReportGranular Corneal Dystrophy Manifesting after Radial KeratotomyFeizi, Sepehr MD; Pakravan, Mohammad MD; Baradaran-Rafiee, Ali-Reza MD; Yazdani, Shahin MDAuthor Information From the Labbafinejad Medical Center, Shaheed Beheshti University, Tehran, Iran. Received for publication April 12, 2007; revision received June 14, 2007; accepted June 18, 2007. Reprints: Sepehr Feizi, 9th Boostan Ave., Pasdaran Street, Tehran 1959983451, Iran (e-mail: [email protected]). Cornea: December 2007 - Volume 26 - Issue 10 - p 1267-1269 doi: 10.1097/ICO.0b013e3181450fa8 Buy Metrics Abstract Purpose: To report a case of granular corneal dystrophy after radial keratotomy (RK). Methods: A 32-year-old man presented with white radial lines in both corneas. He had a history of uncomplicated RK in both eyes 8 years ago. Preoperative refraction had been OD −3.5−0.75 × 180 and OS −3.0−0.5 × 175. The cornea was reported to be clear on postoperative examinations. Results: Postoperative uncorrected visual acuity was OD 20/30 and OS 20/40. Best-corrected visual acuity was 20/25 in both eyes with OD −0.5−0.5 × 60 and OS −0.75−0.5 × 80. Slit-lamp examination revealed discrete well-demarcated whitish lesions with clear intervening stroma in the central anterior cornea consistent with granular dystrophy. Similar opacities were present within the RK incisions. Conclusions: Production and deposition of such abnormal material could be due to keratocyte activation after RK or proliferation and migration of epithelial cells with a tendency to express abnormal keratoepithelin. © 2007 Lippincott Williams & Wilkins, Inc.