International Journal of Keratoconus and Ectatic Corneal Diseases

Register      Login

VOLUME 7 , ISSUE 2 ( July-December, 2018 ) > List of Articles


Post-femtosecond-assisted Laser-assisted In Situ Keratomileusis Ectasia in a Hyperopic Eye

Dana Garzozi, Hanna J Garzozi, Adel Barbara

Keywords : Astigmatism, Ectasia, Hyperopia, Laser, LASIK

Citation Information : Garzozi D, Garzozi HJ, Barbara A. Post-femtosecond-assisted Laser-assisted In Situ Keratomileusis Ectasia in a Hyperopic Eye. Int J Kerat Ect Cor Dis 2018; 7 (2):121-127.

DOI: 10.5005/jp-journals-10025-1168

License: CC BY-NC 4.0

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2018; The Author(s).


We report on a case of post-femtosecond-assisted laserassisted in situ keratomileusis (LASIK) (FA-LASIK) corneal ectasia, which developed in a young hyperopic male who underwent surgery in both eyes (BE) and eighteen month later, an enhancement procedure in his left eye (LE) due to residual hyperopia.   Ten years later, the patient complained about deterioration of his visual acuity (VA) in his LE. An examination of the eyes and imaging of the cornea revealed post-LASIK ectasia in his LE.   Post-LASIK ectasia in hyperopic eyes has already been reported in few cases, but this is the first report on post-FALASIK ectasia in a hyperopic eye.

PDF Share
  1. Seiler T, Quurke AW. Iatrogenic keratectasia after LASIK in a case of forme fruste keratoconus. J Cataract Refract Surg 1998;24(7):100-107.
  2. Randleman JB. Post-laser in-situ keratomileusis ectasia: current understanding and future directions. Curr Opin Ophthalmol 2006;17(4):406-412.
  3. Santhiago MR, Giacomin NT, Smadja D, et al. Ectasia risk factors in refractive surgery. Clin Ophthalmol 2016;10:713-720.
  4. Argento C, Cosentino MJ, Tytiun A, Rapetti G, Zarate J. Corneal ectasia after laser in situ keratomileusis. J Cataract Refract Surg 2001;27(9):1440-1448.
  5. Binder PS. Ectasia after laser in situ keratomileusis. J Cataract Refract Surg 2003;29(12):2419-2429.
  6. Barbara R, Abdelaziz L, Pikkel J, et al. Late onset post-LASIK ectasia. Int J Kerat Ect Cor Dis 2012;1(3):190-195.
  7. Randleman JB, Banning CS, Stulting RD. Corneal ectasia after hyperopic LASIK. J Refract Surg 2007;23(1):98-99.
  8. Abad JC, Awad A, Kurstin JM. Hyperopic keratoconus. J Refract Surg 2007;23(5):520-523.
  9. Shah S, Laiquzzaman M, Yeung I, et al. The use of the Ocular Response Analyser to determine corneal hysteresis in eyes before and after excimer laser refractive surgery. Cont Lens Anterior Eye 2009;32(3):123-128.
  10. Ambrósio R Jr, Dawson DG, Belin MW. Association between the percent tissue altered and post-laser in situ keratomileusis ectasia in eyes with normal preoperative topography. Am J Ophthalmol 2014;158(6):1358-1359.
  11. Saad A, Binder PS, Gatinel D. Evaluation of the percentage tissue altered as a risk factor for developing post-laser in situ keratomileusis ectasia. J Cataract Refract Surg 2017;43(7):946- 951.
  12. Valbon BF, Ambrosio R Jr, Glicéria J, et al. Unilateral corneal ectasia after bilateral LASIK: the thick flap counts. Int J Keratoconus Ectatic Corneal Dis Int J Kerat Ect Cor Dis 2013;22(22):79-83.
  13. McMonnies CW. Mechanisms of rubbing-related corneal trauma in keratoconus. Cornea 2009;28(6):607-615.
  14. Klein SR, Epstein RJ, Randleman JB, et al. Corneal ectasia after laser in situ keratomileusis in patients without apparent preoperative risk factors. Cornea 2006;25(4):388-403.
  15. Holzer MP, Rabsilber TM, Auffarth GU. Femtosecond laserassisted corneal flap cuts: morphology, accuracy, and histopathology. Invest Ophthalmol Vis Sci 2006;47(7):2828-2831.
  16. Richoz O, Mavrakanas N, Pajic B, et al. Corneal collagen cross-linking for ectasia after LASIK and photorefractive keratectomy: long-term results. Ophthalmology 2013;120(7):1354- 1359.
  17. Yildirim A, Cakir H, Kara N, et al. Corneal collagen crosslinking for ectasia after laser in situ keratomileusis: long-term results. J Cataract Refract Surg 2014;40(10):1591-1596.
  18. Barbara A, Shehadeh-Masha'our R, Garzozi HJ. Intacs after laser in situ keratomileusis and photorefractive keratectomy. J Cataract Refract Surg 2004;30(9):1892-1895.
  19. Uceda-Montanes A, Tomás JD, et al. Correction of severe ectasia after LASIK with intracorneal ring segments. J Refract Surg 2008;24(4):408-411.
  20. Kymionis GD, Tsiklis NS, Pallikaris AI, et al. Long-term follow-up of intacs for post-LASIK corneal ectasia. Ophthalmology 2006;113(11): 1909-1917.
  21. Kanellopoulos AJ, Binder PS. Management of corneal ectasia after LASIK with combined, same-day, topography-guided partial transepithelial PRK and collagen cross-linking: the Athens protocol. J Refract Surg 2011;27(5):323-331.
  22. Kamburoglu G, Ertan A. Intacs implantation with sequential collagen cross-linking treatment in postoperative LASIK ectasia. J Refract Surg 2008;24(7): S726-S729.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.