Artikel
Corneal ectasie after LASIK
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Autoren
Veröffentlicht: | 22. September 2004 |
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Gliederung
Text
Objective
The cornealectasie after LASIK in cases of praedisposition ceratoconus and with a thin lamelle.
Methods
A 25 years old patient complains decrease of visual acuity since 14 days. Three years ago LASIK was performed OU to correct a myopia of -3 dpt. The examination revealed VA of 20/20 OD with a normal Situation after LASIK and VA of handmovement OS with a acute corneal decompensation in case of corneal ectasia. A corneal transplantation with the diameter of 6,75/7,00 mm was performed.
Results
No instability of the corneal flap could be noticed inraoperatively. The donor cornea could be sutured without any traction. VA increased to 20/80 five days postoperatively. The corneal topography of the fellow eye revealed no signs of astigmatism or ectasia.
Conclusions
Although precise preoperative examination is performed, an early Keratoconus cannot be excluded as a differential diagnosis definitely and therefore would cause corneal decompensation after LASIK. This should be added in the preoperative patients agreement.