Purpose To describe the case of a patient developing corneal ectasia following LASIK for the correction of myopic astigmatism. Materials and Methods A 39-year-old man underwent bilateral uneventful LASIK for myopic astigmatism of -10.25 -1.75 ×040 OD and -8.00 -2.50 ×005 OS. Preoperative corneal pachymetry was 542 micrometers OD and 543 micrometers OS. Preoperative corneal topography showed b...

PURPOSE To investigate repeatability of steep and flat keratometry measurements, as well as astigmatism axis in cohorts with normal range and regular astigmatic such as: eyes following laser-assisted in situ keratomileusis (LASIK) and normal population, as well as cohorts of high and irregular astigmatism such as keratoconic eyes, and keratoconic eyes following corneal collagen cross-linking, e...

purpose : to assess and to compare stromal and endothelial changes at the cellular level in patients who had photorefractive keratectomy (prk) and laser in situ keratomileusis (lasik) using in vivo confocal microscopy methods : in this semiexperimental study, 32 eyes of 16 patients (4 males and 12 females) with low to moderate myopia [-1.00 to -4.50 diopters (d)] or low to moderate myopic astig...

PURPOSE To assess the efficacy, predictability, stability, and safety of a two-step LASIK procedure using topography-guided ablation to correct astigmatism after penetrating keratoplasty. METHODS Fifteen eyes of 15 patients underwent a two-step LASIK procedure at the Maggiore Hospital of Bologna, Italy. In the first step, a flap was created using the Hansatome microkeratome. In the second ste...

High astigmatism correction represents a challenge for the refractive surgeon with current available technology. Excimer laser correction should be considered as an option in the available therapeutic arsenal. We report a patient with astigmatism higher than eight diopters to whom it was used a treatment with LASIK (Laser Assisted In Situ Keratomileusis) in two surgical moments, using a new gen...

The objective of the present study was to compare single segment and double segment INTACS rings in the treatment of post-LASIK ectasia. In this interventional study, 26 eyes with post-LASIK ectasia were assessed. Ectasia was defined as progressive myopia regardless of astigmatism, along with topographic evidence of inferior steepening of the cornea after LASIK. We excluded those with a history...

PURPOSE To evaluate the safety, efficacy, and contralateral eye comparison of topography-guided myopic LASIK with two different refraction treatment strategies. SETTING Private clinical ophthalmology practice. PATIENTS AND METHODS A total of 100 eyes (50 patients) in consecutive cases of myopic topography-guided LASIK procedures with the same refractive platform (FS200 femtosecond and EX500...

We describe the case of a 47-year-old man who came to our center to be assessed for refractive surgery in 2007. The initial scan (instillation of 3 drops of cyclopentolate 1%) revealed a corrected distance visual acuity of 20/60 with +0.50 –9.50 × 10° in OD and 20/60 with +1.25 –9.50 × 165° in OS. We performed laser in situ keratomileusis (LASIK) in both eyes using a bicylindrical approach afte...

PURPOSE To assess the reliability and reproducibility of static cyclotorsion correction (SCC) measurements made using the Schwind Amaris Excimer laser in patients undergoing LASIK or PRK, and compare the outcomes of treating astigmatism with and without SCC. METHODS Eighty eyes of 40 patients were included in this study. All eyes underwent 2 or 3 sets of five measurements: before and after sp...

PURPOSE To describe LASIK flap amputation as a therapeutic option for patients with atypical refractory flap complications. METHODS Case series and literature review. RESULTS Seven eyes of 6 patients underwent flap amputation for various atypical indications, including non-infectious flap/interface opacity (3 patients), irregular astigmatism on the flap surface (3 patients), and chronic pai...