Post-LASIK ectasia treated with intrastromal corneal ring segments and corneal crosslinking.
نویسندگان
چکیده
Corneal ectasia is a serious complication of laser in situ keratomileusis (LASIK). We report the case of a 29-year-old man who underwent LASIK in both eyes and in whom corneal ectasia developed in the left eye 3 years after surgery. He was treated sequentially with intraocular pressure-lowering medication, intrastromal corneal ring segment (ICRS) implants, and collagen cross-linking. Vision improved and the ectasia stabilized following treatment. Combined ICRS implantation and collagen cross-linking should be considered early in the management of post-LASIK ectasia.
منابع مشابه
Corneal Collagen Crosslinking for Keratectasia after Laser in situ Keratomileusis: A Review of the Literature
Corneal ectasia is a serious vision-threatening complication of laser in situ keratomileusis (LASIK). It is associated with progressive corneal steepening, an increase in myopia and astigmatism, and decrease in uncorrected visual acuity. Before LASIK presence of risk factors (corneal thickness, refractive error, presence of clinical and subclinical corneal pathologies) should be studied so pati...
متن کاملSurgical technique: coupling of intrastromal corneal ring segments for ectatic corneal disorders in eye bank corneas
The management of corneal ectasia is evolving, with intrastromal corneal ring segments playing an important role in delaying or eliminating the need for penetrating keratoplasty. This paper describes a modification in the implantation technique of intrastromal corneal ring segments that allows for coupling of the two segments with suture, affording more structural support.
متن کاملCorneal Collagen Cross Linking - PLUS
The management of keratoconus and post – LASIK ectasia included until recently spectacle correction, Hard Fitted Gas Permeable Contact Lenses, Intrastromal Corneal Ring Segments. All these interventions are purely symptomatic and their only aim is the improvement of visual function of patients, without interfering with the pathophysiology of the ectatic disorders. The only actual treatment for ...
متن کاملManagement of corneal ectasia after laser in situ keratomileusis with INTACS.
PURPOSE To evaluate the safety and efficacy of intrastromal corneal ring segments (ICRS, INTACS, Keravision) for the correction of corneal ectasia after laser in situ keratomileusis (LASIK). METHODS In this prospective, noncomparative case series, INTACS were implanted in three eyes (two patients) that were ectatic after LASIK. Mean follow-up was 8.7 months (range, 8 to 10 mo). RESULTS No i...
متن کاملTreatment of keratoectasia after LASIK by intrastromal corneal ring segments in two patients who had no preoperative risk factors
PURPOSE To report on keratoectasia after laser in situ keratomileusis (LASIK) in two eyes of two patients who had no obvious preoperative risk factors, and treatment of keratoectasia by intrastromal corneal ring segments. METHOD Clinical interventional case report. RESULTS Two patients underwent LASIK in both eyes at Shinagawa LASIK center, Tokyo. Preoperative standard ophthalmological exam...
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ورودعنوان ژورنال:
- Digital journal of ophthalmology : DJO
دوره 19 1 شماره
صفحات -
تاریخ انتشار 2013