Bilateral corneal ectasia after laser in situ keratomileusis in patient with isolated difference in central corneal thickness between eyes

J Cataract Refract Surg. 2010 Jun;36(6):1033-5. doi: 10.1016/j.jcrs.2010.03.023.

Abstract

A patient was treated bilaterally for myopia using laser in situ keratomileusis (LASIK). Preoperatively, there was no known risk factor for ectasia but a 20 microm between-eye difference in central mean corneal thickness was seen on the optical pachymetry map. Two years postoperatively, bilateral ectasia was diagnosed. This case suggests that abstention or surface ablation treatment may be a safer option than LASIK in patients showing central thickness asymmetry between eyes.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cornea / pathology*
  • Corneal Diseases / diagnosis
  • Corneal Diseases / etiology*
  • Corneal Topography
  • Dilatation, Pathologic / diagnosis
  • Dilatation, Pathologic / etiology
  • Functional Laterality
  • Humans
  • Keratomileusis, Laser In Situ / methods*
  • Lasers, Excimer / therapeutic use*
  • Male
  • Myopia / surgery*
  • Postoperative Complications*
  • Tomography, Optical Coherence
  • Visual Acuity / physiology