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...

purpose: to evaluate the visual outcomes of lasik in myopic eyes. methods: this interventional case series was performed on records of 345 eyes of 179 patients for correcting myopia with astigmatism < 3.00 diopter (d). all patients were operated by one surgeon (h.n.) with the nidek ec 5000 excimer laser. all patients had at least one year follow up. based on preoperative refraction, patients we...

PURPOSE To compare intraoperative and postoperative subjective patient experience after small incision lenticule extraction (SMILE) and femtosecond laser-assisted LASIK. METHODS In a prospective, randomized, paired-eye, single-masked clinical trial at Singapore National Eye Centre, 70 patients were randomly treated with SMILE and LASIK in each eye. The intraoperative questionnaire was complet...

PURPOSE To describe a cluster of Mycobacterium chelonae keratitis cases involving patients who underwent laser in-situ keratomileusis (LASIK) at a single refractive surgery center. DESIGN Descriptive case series of four patients and cohort study to identify disease associations. METHODS Examination schedules, diagnostic tests, and therapy were based on best medical judgment. Isolates from t...

AUGUST 2011 CATARACT & REFRACTIVE SURGERY TODAY 31 P rogressive, asymmetrical corneal steepening associated with an increase in myopic and astigmatic refractive errors, combined with midperipheral and/or peripheral corneal thinning, represents a constellation of findings in ectatic corneal disorders (eg, keratoconus and pellucid marginal degeneration). These entitites are associated with asymme...

PURPOSE To determine the ability of motion-corrected optical coherence tomography (OCT) to measure the corneal refractive power change due to LASIK. DESIGN Evaluation of a diagnostic test or technology in a cohort. SUBJECTS A total of 70 eyes from 37 subjects undergoing LASIK were measured preoperatively. A total of 39 eyes from 22 subjects were measured postoperatively and completed the st...