Management of keratoconus and post-laser-assisted in situ keratomileusis ametropia and keratectasia with mini-scleral lenses—Three case reports

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Keratectasia induced by laser in situ keratomileusis in keratoconus.

PURPOSE Corneal thinning disorders weaken the mechanical strength of affected corneas, suggesting that photorefractive procedures may be contraindicated in keratoconus. Few cases have been reported to confirm this hypothesis. METHODS A 45-year-old man had two laser in situ keratomileusis (LASIK) procedures and one photorefractive keratectomy (PRK) performed on his left eye, and three LASIK pr...

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Intracorneal ring segment implantation in corneas with post-laser in situ keratomileusis keratectasia.

PURPOSE To evaluate the refractive and aberrometric changes in corneas with post-LASIK keratectasia implanted with intracorneal ring segments (ICRS) during a 2-year follow-up. DESIGN Retrospective, consecutive case series. PARTICIPANTS Thirty-four eyes of 25 patients (age range, 20-59 years) with post-LASIK ectasia were included. Ectasia was diagnosed by slit-lamp appearance of corneal thin...

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[Post-laser in situ keratomileusis refractive changes induced by glaucoma in the absence of keratectasia].

CASE REPORT We report the case of a 34 year-old man with progressive loss of visual acuity in his left eye, who was diagnosed with pigmentary glaucoma with an intraocular pressure of 32mmHg. Eight years previously, the patient had undergone refractive surgery (LASIK). Hypotensive treatment led to a significant refractive change accompanied by flattening of the corneal curvature. DISCUSSION We...

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Laser in situ keratomileusis for ametropia after penetrating keratoplasty.

PURPOSE To evaluate the efficacy of excimer laser in situ keratomileusis (LASIK) in the treatment of refractive errors after penetrating keratoplasty. METHODS Eight eyes underwent LASIK after a mean 71 months (SD 60) following the initial penetrating keratoplasty. A full ophthalmic assessment was performed before LASIK and at 1 week, 1, 3, 6, and 12 months after surgery. Mean follow-up was 8....

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Deep anterior lamellar keratoplasty in post-laser in situ keratomileusis keratectasia.

We describe a technique using deep anterior lamellar keratoplasty (DALK) in 5 eyes that developed keratectasia after LASIK. The technique is based on surgical manipulation that allows visualization of the lamellar dissection depth using a posterior approach to reach the predescemetic space. The mirror effect, indentation effect, and folding effect were used to determine proximity to Descemet's ...

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ژورنال

عنوان ژورنال: Taiwan Journal of Ophthalmology

سال: 2014

ISSN: 2211-5056

DOI: 10.1016/j.tjo.2014.03.003