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LASIK for high myopic astigmatism resulting from perforating ocular injury.

AbstractPURPOSE:
To present a case of successful treatment of high myopic astigmatism after a perforating injury with significant corneal laceration and pupil ectopia using excimer LASIK.
METHODS:
A 30-year-old man presented for treatment of high myopic astigmatism in his right eye resulting from perforating ocular trauma, which occurred 8 years prior to presentation. The corneoscleral wound repair was performed with posterior chamber intraocular lens implantation. Uncorrected visual acuity (UCVA) in the right eye was counting fingers at 1 m, best corrected to 20/30 with -7.00 + 5.00 x 110. Visual acuity in the left eye was 20/20 with -1.5 D. The patient was unable to tolerate spectacles and contact lenses because of asthenopia and high astigmatism, respectively. As an alternative, LASIK with the Allegretto Wave excimer laser was performed.
RESULTS:
Three months postoperatively, UCVA was 20/25 in the right eye and 20/15 in the left eye.
CONCLUSIONS:
This case indicates that LASIK can be a useful surgical method for correcting high myopic astigmatism resulting from ocular trauma with significant corneoscleral laceration.
AuthorsJohnny M Khoury, Walid F Haddad, Baha' Noureddin
JournalJournal of refractive surgery (Thorofare, N.J. : 1995) (J Refract Surg) 2005 Nov-Dec Vol. 21 Issue 6 Pg. 756-9 ISSN: 1081-597X [Print] United States
PMID16329370 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Astigmatism (etiology, pathology, surgery)
  • Cornea (innervation, pathology, surgery)
  • Corneal Topography
  • Eye Injuries, Penetrating (complications, pathology, surgery)
  • Follow-Up Studies
  • Humans
  • Keratomileusis, Laser In Situ
  • Male
  • Myopia (etiology, pathology, surgery)
  • Visual Acuity

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