gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

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Corneal ectasie after LASIK

Meeting Abstract

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  • corresponding author J. C. Schmidt - Universitäts-Augenklinik Marburg
  • C. H. Meyer - Universitäts-Augenklinik Marburg
  • S. Mennel - Universitäts-Augenklinik Marburg

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogP 049

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2004/04dog540.shtml

Published: September 22, 2004

© 2004 Schmidt et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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.