PURPOSE To compare pressure phosphene tonometry with Goldmann applanation tonometry for measuring intraocular pressure (IOP) before and after LASIK. METHODS Forty-three (18 men and 25 women) consecutive healthy patients underwent complete pre- and postoperative LASIK ophthalmologic assessments including manifest and cycloplegic refraction, keratometry, and central corneal thickness. Three rep...

PURPOSE To develop a mathematical model to estimate the relative differences in postoperative stromal tensile strength following photorefractive keratectomy (PRK), LASIK, and small incision lenticule extraction (SMILE). METHODS Using previously published data where in vitro corneal stromal tensile strength was determined as a function of depth, a mathematical model was built to calculate the ...

PURPOSE To report a case of rainbow glare following femtosecond laser-assisted LASIK (femto-LASIK) with the Wavelight FS-200 femtosecond laser (Alcon Laboratories, Inc., Fort Worth, TX). METHODS A patient was treated bilaterally for myopia with femto-LASIK using the FS-200 femtosecond laser. Postoperatively, he complained of rainbow glare in his right eye. RESULTS Three months postoperative...

Purpose. To assess the incidence of central serous chorioretinopathy (CSCR) following laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK). Methods. A chart review was performed to identify all patients with CSCR and a previous history of LASIK or PRK. Results. Over the 6-year study period, 1 of 4,876 eyes which had LASIK or PRK at the Moran Eye Center was diagnosed with C...

ABSTRACT A 27-year-old healthy man with a history of bilateral photorefractive keratectomy (PRK) enhancement after femtosecond laser in situ keratomileusis (LASIK) presented decreased uncorrected distance visual acuity (UDVA) 20/125 the right eye (OD) and 20/300 left (OS) six months PRK. Examination revealed dense subepithelial opacities. Both eyes (OU) were treated superficial combined phototh...

Surgical correction of vision is becoming increasingly popular. Laser-assisted in situ keratomileusis (LASIK) is the most popular method of corneal refractive surgery. LASIK is usually limited to adults who have stable refraction. Contraindications include the use of certain medications, conditions that impair healing, abnormal corneal anatomy, and inadequate tearing. Patients who cannot tolera...

purpose: to compare keratocyte density in stromal layers of the cornea in keratoconus, post-lasik keratectasia, lasik without keratectasia, and normal corneas by confocal scan. methods: thirty-one unscarred corneas from 22 patients with keratoconus, 24 clear corneas from 17 cases with post-lasik keratectasia, 12 corneas from 7 lasik cases without keratectasia, and 26 corneas from 13 normal subj...

Purpose. To report an unusual case of severe bilateral fungal keratitis following laser in situ keratomileusis (LASIK). Method. A 48-year-old man developed bilateral diffuse corneal infiltration two weeks after LASIK. The corneal scrapings revealed fungal filaments but cultures were negative. Results. The corneal ulceration was improved on the left eye whereas spontaneous perforation occurred a...

To the Editor: Several complications can occur after LASIK due to the creation of a non-physiological potential space, including epithelial ingrowth, diffuse lamellar keratitis, and infectious keratitis. Although some of these complications can be mild and not visually significant, others can be vision-threatening and require medical or surgical intervention. Treatment of complications after LA...