To the Editor: In their recent article, Durrie and colleagues1 reported results of lift-flap retreatment after LASIK. The authors concluded that this procedure appears to be effective and is associated with minimal complications. They reported that before reoperation, mean spherical equivalent refraction was -2.34 D (range, -0.67 to -5.75 D). The Summit Apex excimer laser (Summit Technology, Wa...

To the Editor: It is common knowledge that the biomechanical stability of connective tissue changes during pregnancy, leading to reduced stiffness and increased extensibility. These changes are most probably hormone-induced and, therefore, corneal biomechanics also may change during pregnancy. Five patients who underwent LASIK experienced vision deterioration during pregnancy, which we attribut...

BACKGROUND/AIMS To evaluate the effect of corneal collagen crosslinking with riboflavin and UV-A as a treatment option for postlaser in situ keratomileusis keratectasia. METHODS Crosslinking was carried out in 22 eyes of 15 patients with iatrogenic keratectasia. Follow-up, according to a standardised protocol (uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), slit-lamp ex...

To determine if the residual corneal stromal bed of 250 microm is enough to prevent iatrogenic keratectasia in laser in situ keratomileusis (LASIK), we studied 958 patients who underwent LASIK from April 2000 to October 2003 retrospectively. The estimated probabilities of the residual stromal bed, that was less than 250 microm, were calculated using the published flap thickness data of Moria C&...

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Introduction In recent years, reduced corneal biomechanics have been identified as an important element in the pathogenesis of various corneal diseases. The biomechanical characteristics of a connective tissue such as strength and resistance against mechanical stress are indispensable prerequisites to maintain regular shape and function of that tissue. Intraand intermolecular cross-links betwee...

Thin-flap laser in situ keratomileusis (LASIK) is a general term used to describe LASIK performed under intentionally created thin flaps of 130 μm thickness or less. Thinflap LASIK has been proven to be a safe, effective, and predictable procedure for myopic refractive corrections (1-6). It has the potential advantage of preserving more posterior corneal tissue available for laser ablation and ...

PURPOSE To improve the visual acuity of patients with progressive keratectasia following laser in situ keratomileusis (LASIK). METHODS Five eyes of four patients underwent penetrating keratoplasty for ectasia after LASIK: In one patient the second eye was operated on 10 months after the first keratoplasty. The pre- and postoperative refraction, best spectacle-corrected visual acuity, and topo...

PURPOSE We investigated higher-order aberrations (HOAs) of the anterior and posterior corneal surfaces in patients with keratectasia after LASIK. METHODS The subjects comprised four groups: 12 eyes with keratectasia after LASIK, 30 eyes following LASIK without keratectasia, 30 keratoconic eyes, and 30 normal eyes. Corneal HOAs due to the anterior and posterior corneal surfaces for 6-mm pupils...