Prevention of corneal ectasia in laser in situ keratomileusis

P. Vinciguerra, F. I. Camesasca

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

PURPOSE: Ectasia after laser in situ keratomileusis (LASIK) is a rare but serious complication. Prevention includes proper patient selection with detection of those at particular risk. Causes of ectasia include predisposition, excessive ablation with less than 250 μm of residual stromal bed, thicker than normal flap, irregular corneal thickness, and different ablation rates. METHODS: We evaluated corneal curvature patterns and their relationship to corneal topography and pachymetry maps. RESULTS: Corneal topography (axial, tangential, and altimetric) and pachymetry map characteristics of normally astigmatic corneas, keratoconus, false-positive and false-negative cases, as well as contact lens-induced warpage are discussed. CONCLUSIONS: Preoperative pachymetry maps for LASIK surgery allow accurate case selection through detection of borderline cases, and provide important documentation of preoperative status, as well as useful information for improving surgical strategy. Another important parameter is the asphericity index.

Original languageEnglish
JournalJournal of Refractive Surgery
Volume17
Issue number2 SUPPL.
Publication statusPublished - 2001

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Corneal Topography
Pathologic Dilatations
Laser In Situ Keratomileusis
Corneal Pachymetry
Keratoconus
Contact Lenses
Documentation
Cornea
Patient Selection

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Prevention of corneal ectasia in laser in situ keratomileusis. / Vinciguerra, P.; Camesasca, F. I.

In: Journal of Refractive Surgery, Vol. 17, No. 2 SUPPL., 2001.

Research output: Contribution to journalArticle

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AB - PURPOSE: Ectasia after laser in situ keratomileusis (LASIK) is a rare but serious complication. Prevention includes proper patient selection with detection of those at particular risk. Causes of ectasia include predisposition, excessive ablation with less than 250 μm of residual stromal bed, thicker than normal flap, irregular corneal thickness, and different ablation rates. METHODS: We evaluated corneal curvature patterns and their relationship to corneal topography and pachymetry maps. RESULTS: Corneal topography (axial, tangential, and altimetric) and pachymetry map characteristics of normally astigmatic corneas, keratoconus, false-positive and false-negative cases, as well as contact lens-induced warpage are discussed. CONCLUSIONS: Preoperative pachymetry maps for LASIK surgery allow accurate case selection through detection of borderline cases, and provide important documentation of preoperative status, as well as useful information for improving surgical strategy. Another important parameter is the asphericity index.

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