TY - JOUR
T1 - Corneal ectasia secondary to LASIK after arcuate keratotomy
AU - Ghanem, Ramon C.
AU - Ghanem, Marcielle A.
AU - Bogoni, Ayla
AU - Ghanem, Vinícius C.
PY - 2013/6
Y1 - 2013/6
N2 - PURPOSE: To present a case of corneal ectasia after LASIK in a patient with previous arcuate keratotomy. METHODS: Case report. RESULTS: The patient underwent arcuate keratotomy in both eyes in 1997 for with-the-rule regular hyperopic astigmatism and uneventful bilateral LASIK for residual astigmatism 5 years later. Visual acuity and refraction remained stable for 5 years, when the patient noticed worsening visual acuity. Corneal topography showed progressive inferior steepening, confirming the diagnosis of ectasia. Corneal high-resolution optical coherence tomography revealed a normal LASIK flap. The patient had no risk factors for corneal ectasia other than previous incisional surgery. CONCLUSIONS: This case suggests that isolated arcuate keratotomy can be a significant risk factor for the development of corneal ectasia after LASIK.
AB - PURPOSE: To present a case of corneal ectasia after LASIK in a patient with previous arcuate keratotomy. METHODS: Case report. RESULTS: The patient underwent arcuate keratotomy in both eyes in 1997 for with-the-rule regular hyperopic astigmatism and uneventful bilateral LASIK for residual astigmatism 5 years later. Visual acuity and refraction remained stable for 5 years, when the patient noticed worsening visual acuity. Corneal topography showed progressive inferior steepening, confirming the diagnosis of ectasia. Corneal high-resolution optical coherence tomography revealed a normal LASIK flap. The patient had no risk factors for corneal ectasia other than previous incisional surgery. CONCLUSIONS: This case suggests that isolated arcuate keratotomy can be a significant risk factor for the development of corneal ectasia after LASIK.
UR - http://www.scopus.com/inward/record.url?scp=84878662401&partnerID=8YFLogxK
U2 - 10.3928/1081597X-20130313-02
DO - 10.3928/1081597X-20130313-02
M3 - Artículo
SN - 1081-597X
VL - 29
SP - 426
EP - 429
JO - Journal of Refractive Surgery
JF - Journal of Refractive Surgery
IS - 6
ER -