Management of postkeratoplasty ametropia: IntraLASIK after penetrating keratoplasty.

Abstract

PURPOSE:

The authors describe a technique of laser in situ keratomileusis (LASIK) for the management of postkeratoplasty ametropia using a femtosecond laser for flap creation.

METHODS:

The first step was the placement of a disposable suction fixation ring to ensure that it was well-centered on the graft. The applanation cone was applied; the border of the flap was adjusted according to the edge of the graft. The hinge was at the 12 o'clock position; the mean flap diameter was 7.93 mm and the flap depth was 113.33 microm. The flap creation was made with the IntraLase femtosecond laser in a raster pattern. Twenty minutes after the flap creation, it was lifted and the treatment was completed with the Allegretto Wavelight excimer laser.

RESULTS:

Three patients were treated with this technique and no significant intraoperative or postoperative complications were observed.

CONCLUSIONS:

IntraLASIK is a promising and accurate procedure for the correction of postkeratoplasty ametropia and astigmatism.

• Authors: R B Kucumen, N M Yenerel, E Gorgun, M L Alimgil
• Journal: European journal of ophthalmology (Eur J Ophthalmol) 2008 Nov-Dec Vol. 18 Issue 6 Pg. 877-85 ISSN: 1120-6721 [Print] United States
• PMID: 18988156 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Astigmatism (etiology, surgery)
• Corneal Stroma (surgery)
• Corneal Topography
• Female
• Humans
• Hyperopia (etiology, surgery)
• Keratoconus (surgery)
• Keratomileusis, Laser In Situ (methods)
• Keratoplasty, Penetrating
• Lasers, Excimer (therapeutic use)
• Male
• Myopia (etiology, surgery)
• Postoperative Complications
• Refraction, Ocular
• Surgical Flaps
• Visual Acuity