Keratectasia after bilateral laser in situ keratomileusis in a patient with previous radial and astigmatic keratotomy

J Cataract Refract Surg. 2005 Feb;31(2):441-5. doi: 10.1016/j.jcrs.2004.05.057.

Abstract

We describe a case of bilateral keratectasia after laser in situ keratomileusis (LASIK) in a patient with previous radial keratotomy and astigmatic keratotomy. The best spectacle-corrected visual acuity (BSCVA) was 20/25 in both eyes. After uneventful LASIK was performed in both eyes for low myopic astigmatism, the patient presented with progressive myopia and astigmatism and a BSCVA of 20/50 in both eyes. Videokeratography showed progressive deformation of the cornea, increasing K-values over 50.0 diopters, and irregular astigmatism. The best corrected visual acuity in both eyes improved to 20/25 with rigid poly(methyl methacrylate) contact lenses.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Astigmatism / surgery
  • Contact Lenses
  • Cornea / pathology*
  • Corneal Diseases / etiology*
  • Corneal Diseases / therapy
  • Corneal Topography
  • Dilatation, Pathologic
  • Humans
  • Keratomileusis, Laser In Situ / adverse effects*
  • Keratotomy, Radial*
  • Male
  • Myopia / surgery
  • Visual Acuity