Corneal collagen crosslinking (CXL) is a promising new treatment modality designed to stabilize or decrease the progression of keratoconus, as well as other cornealthinning processes such as ectasia after LASIK or PRK. An increase in corneal biomechanical strength after CXL slows the progression of keratoconus and other forms of ectasia with few reported complications. Underlying the efficacy o...

Keratoconus has usually been described as bilateral but asymmetric disease. Corneal ectasia is one of the long-term complications of modern refractive surgery, especially those submitted to laser in situ keratomileusis (LASIK). We describe a patient with keratoconus in the right eye that was submitted to radial keratectomy (RK) in the left eye 19 years ago with no progression of the ectatic cor...

AUGUST 2011 CATARACT & REFRACTIVE SURGERY TODAY 31 P rogressive, asymmetrical corneal steepening associated with an increase in myopic and astigmatic refractive errors, combined with midperipheral and/or peripheral corneal thinning, represents a constellation of findings in ectatic corneal disorders (eg, keratoconus and pellucid marginal degeneration). These entitites are associated with asymme...

PURPOSE To report a case of airbag induced corneal ectasia. METHODS Case report. RESULTS A patient 3 years post-LASIK developed bilateral corneal ectasia worse in the right eye following airbag deployment in a road traffic accident. At last follow up, best corrected vision was 20/40 with -4.00/-4.00 x 25 in the right eye and 20/25 with -1.25/-0.50 x 135 in the left eye. CONCLUSIONS This i...

PURPOSE To evaluate and modify the Randleman Ectasia Risk Score System for predicting post-laser in situ keratomileusis (LASIK) ectasia in patients with normal preoperative corneal topography. METHODS In this retrospective study we reviewed data from 136 eyes which had undergone LASIK including 34 ectatic and 102 normal eyes between 1999 and 2009. After determining the sensitivity and specifi...

Background and aims: Keratoconus is characterized by corneal ectasia and irregular astigmatism, which can lead to diminished vision and corneal scarring. Keratoconus is a condition that causes corneal ectasia and reduced vision in young adults. A proportion of these patients have progressive disease requiring corneal transplantation. Methods: The databases searched included OVID MEDLINE, MEDLIN...

Purpose To describe the case of a patient developing corneal ectasia following LASIK for the correction of myopic astigmatism. Materials and Methods A 39-year-old man underwent bilateral uneventful LASIK for myopic astigmatism of -10.25 -1.75 ×040 OD and -8.00 -2.50 ×005 OS. Preoperative corneal pachymetry was 542 micrometers OD and 543 micrometers OS. Preoperative corneal topography showed b...

This review outlines risk factors of post-laser in situ keratomileusis (LASIK) ectasia that can be detected preoperatively and presents a new metric to be considered in the detection of ectasia risk. Relevant factors in refractive surgery screening include the analysis of intrinsic biomechanical properties (information obtained from corneal topography/tomography and patient's age), as well as t...