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Case Reports
. 2016 Jul 1;32(7):497-500.
doi: 10.3928/1081597X-20160502-03.

Bilateral Ectasia After Femtosecond Laser-Assisted Small Incision Lenticule Extraction (SMILE)

Jaakko S Mattila, Juha M Holopainen
Case Reports

Bilateral Ectasia After Femtosecond Laser-Assisted Small Incision Lenticule Extraction (SMILE)

Jaakko S Mattila et al. J Refract Surg. .

Abstract

Purpose: To describe a case of bilateral ectasia after small incision lenticule extraction (SMILE) in a patient with early keratoconus.

Methods: Case report.

Results: Bilateral SMILE was performed on a patient even though preoperative topographies showed changes indicating early keratoconus. The right eye underwent further photorefractive keratectomy enhancement 18 months later. The patient developed a bilateral corneal ectasia.

Conclusions: This case underlines the importance of thorough preoperative assessment for possible keratoconus suspect changes with corneal topography to avoid postoperative ectasia. [J Refract Surg. 2016;32(7):497-500.].

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