International Journal of Keratoconus and Ectatic Corneal Diseases

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VOLUME 6 , ISSUE 2 ( July-December, 2017 ) > List of Articles

REVIEW ARTICLE

Post Laser-assisted in situ Keratomileusis Ectasia: A Systematic Review

Adel Barbara, Yumna Busool

Citation Information : Barbara A, Busool Y. Post Laser-assisted in situ Keratomileusis Ectasia: A Systematic Review. Int J Kerat Ect Cor Dis 2017; 6 (2):78-86.

DOI: 10.5005/jp-journals-10025-1147

License: CC BY 3.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Purpose

To provide a comprehensive overview of ectasia development following laser-assisted in situ keratomileusis (LASIK).

Materials and methods

Literature review of relevant studies dealing with corneal ectasia associated with refractive surgery, keratoconus (KC), and cross-linking.

Results

Post Laser-assisted (PLE) involves histopathologic, clinical, and topographic characteristics similar to KC. Several risk screening indices were developed to enhance the detection of KC suspect and mild KC cases prior to the laser procedure. A grading system of PLE was developed, based on risk factors for the severity of ectasia, primarily measured by visual loss. The aims of the treatment are halting ectasia progression and restoring visual acuity.

Conclusion

Familiarity with the highly sensitive and specific indices for ectasia screening, in addition to procedure parameters that increase the likelihood of ectasia development following the refractive procedure, is essential for minimizing the risk of PLE. However, when ectasia develops, early recognition and proper management are essential to prevent progression and improve visual rehabilitation.

How to cite this article

Busool Y, Barbara A. Post Laser-assisted in situ Keratomileusis Ectasia: A Systematic Review. Int J Kerat Ect Cor Dis 2017;6(2):78-86


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