Journal List > J Korean Ophthalmol Soc > v.58(3) > 1010726

Jo, Park, Tchah, and Kim: Management of Complication after Hyperopic Laser-assisted in-situ Keratomileusis

Abstract

Purpose

We present a case of a patient who underwent corneal refractive surgery to improve their corrected visual acuity due to a complication of hyperopic laser-assisted in-situ keratomileusis (LASIK).

Case summary

The patient complained of decreased vision after hyperopic LASIK surgery 12 years prior. The corrected dis-tance visual acuity (CDVA) was 20/200 in the right eye and 20/32 in the left, with manifested refractions of +1.25 +2.00 × 90 and -0.25 +2.00 × 80, respectively. The patient had a with-the-rule astigmatism. The values of corneal and total spherical aberration, which can be determined as coefficients of the Zernike polynomials, were respectively -1.027 μ m and -0.773 μ m in the right eye and -0.965 μ m and -0.881 μ m in the left eye. Slit lamp biomicroscopy revealed no remarkable findings. We performed surface ablation surgery to flatten the central cornea of the patient’s right eye. At 12 months after surgery, the CDVA of the patient’s right eye was 20/30 and the negative corneal spherical aberration was reduced.

Conclusions

Corneal refractive surgery to reduce negative corneal spherical aberration by flattening the central cornea is one of possible treatment options for the reduced corrected distance visual acuity after hyperopic LASIK.

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Figure 1.
Topographic and tomographic findings of the patient after hyperopic laser-assisted in-situ keratomileusis (LASIK) using Orbscan II. (A) Right eye of the patient. (B) Left eye of the patient. T = temporal; N = nasal; OD = oculus dexter; OS = oculus sinister.
jkos-58-337f1.tif
Figure 2.
Postoperative findings of Orbscan. Central cornea has been flattened after laser refractive surgery. T = temporal; N = na-sal; OD = oculus dexter.
jkos-58-337f2.tif
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