LASIK in high hyperopia with WaveLight Allegretto Eye-Q excimer laser – One year results

Over the past years, we could witness the rapid development of surgical methods for the correction of hyperopia. Keratophakia, together with epikeratophakia and keratomileusis, was introduced by Barraquer and was used during the 80’s, but due to the complexity of the procedure and equipment, the inaccuracy of refractive results, postoperative complications, and delayed visual rehabilitation1, it is rarely performed today, even after recent studies of the laser assisted lenticule lathing2. Other techniques, such as automated lamellar keratoplasty, thermal keratoplasty, non-contact holmium:YAG laser thermal keratoplasty (LTK), phakic and aphakic IOL implantation, cover quite a specific and small proportion of the patients where the results are not better than reasonable3-9. Laser assisted procedures as PRK10 and LASIK11 have also been reported in the last few years for the correction of hyperopia, with pleasing results in low and moderate hyperopia, whereas the outcomes for the higher and secondary hyperopia were not satisfactory12. The aim of this paper is to evaluate the refractive results after LASIK for hyperopia with the WaveLight ALLEGRETTO WAVE Eye-Q Excimer Laser System and WaveLight Rondo microkeratome.