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...

OBJECTIVE To compare changes in subbasal nerve density and corneal sensitivity after laser in situ keratomileusis (LASIK) with the flap created by a femtosecond laser (bladeless) vs a mechanical microkeratome. DESIGN In a randomized paired-eye study, 21 patients received myopic LASIK with the flap created by a femtosecond laser in one eye and by a mechanical microkeratome in the fellow eye. E...

We describe the use and safety of prednisolone acetate eyedrops at the end of laser in situ keratomileusis (LASIK) to aid proper positioning of the corneal flap. The LASIK flap is created using the preferred technique. Following laser ablation and flap repositioning, one drop of prednisolone acetate is instilled on the eye. This delineates the flap "gutters" and allows perfect flap positioning ...

Progressive post-LASIK keratectasia (PPLK) is a progressive deformation of corneal anatomy that occurs rarely but may have severe consequences. Using the scientific literature and new hypotheses, we attempted to determine whether PPLK is a biomechanical result of laser in situ keratomileusis (LASIK), a chronic disease process affecting individuals predisposed to the condition, or a combination ...

PURPOSE To report and document a case of successful rainbow glare correction using undersurface ablation of the LASIK flap. METHODS A 33-year-old woman was treated bilaterally for myopia using femtosecond laser-assisted LASIK with the FS200 femtosecond laser (Alcon Laboratories, Inc., Fort Worth, TX). Postoperatively, she complained of rainbow glare in her right eye, and presented some residu...

PURPOSE To report 4 cases of flap margin-related corneal ulcer that developed 5 years after laser in situ keratomileusis (LASIK) procedures. METHODS We retrospectively documented the clinical and laboratory characteristics of all patients between 2004 and 2008 who presented with LASIK-related corneal ulcer that appeared >5 years postoperatively. The 4 patients who had this condition were 25-,...