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Case Reports
. 2005 Feb;31(2):441-5.
doi: 10.1016/j.jcrs.2004.05.057.

Keratectasia after bilateral laser in situ keratomileusis in a patient with previous radial and astigmatic keratotomy

Gonzalo Muñoz  1 , Robert Montés-Micó, César Albarrán-Diego, Jorge L Alió
Affiliations
Case Reports

Keratectasia after bilateral laser in situ keratomileusis in a patient with previous radial and astigmatic keratotomy

Gonzalo Muñoz et al. J Cataract Refract Surg. 2005 Feb.

Abstract

We describe a case of bilateral keratectasia after laser in situ keratomileusis (LASIK) in a patient with previous radial keratotomy and astigmatic keratotomy. The best spectacle-corrected visual acuity (BSCVA) was 20/25 in both eyes. After uneventful LASIK was performed in both eyes for low myopic astigmatism, the patient presented with progressive myopia and astigmatism and a BSCVA of 20/50 in both eyes. Videokeratography showed progressive deformation of the cornea, increasing K-values over 50.0 diopters, and irregular astigmatism. The best corrected visual acuity in both eyes improved to 20/25 with rigid poly(methyl methacrylate) contact lenses.

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