Q by Doctor P:
She has a small area in the left nasal cornea of endothelial haze
No other signs/symptoms
No history of HSV etc.
specular right and left eyes
clearly abnormal OS>OD (increased coefficient of variation, lower cell count, weird dark centers OS>OD)
Would you offer PRK?
It’s natural to reflexively back away from this patient. But lets look at the case objectively.