Keratectasia after laser in situ keratomileusis (LASIK): evaluation of the calculated residual stromal bed thickness.

Abstract:

PURPOSE:To report corneal histopathology associated with keratectasia after laser in situ keratomileusis (LASIK) and to evaluate the thickness of the calculated residual stromal bed in two cases and those in the literature. DESIGN:Interventional case reports. METHODS:Three eyes of two patients developed keratectasia after LASIK. Corneal specimens after penetrating keratoplasty in one eye of each patient were studied histopathologically, and the residual stromal bed was directly measured. For comparison, residual stromal bed thicknesses were calculated from published cases of keratectasia. RESULTS:Two eyes of a 26-year-old woman and one eye of a 22-year-old woman developed keratectasia after LASIK. Calculated residual stromal bed thicknesses were 210, 213, and 261 microm. Histologic sections revealed focal scarring in the flap plane. The cornea specimens measured 75 and 118 microm thinner than calculated values immediately after LASIK. Transmission electron microscopy of one case revealed an average lamellar thickness of 0.94 microm. In 28 (49%) of 57 previous cases of keratectasia, the calculated residual stromal bed thicknesses were greater than 250 microm. CONCLUSIONS:Both the flap and the stromal bed of the cornea may thin after LASIK. A residual stromal bed thickness of 250 microm does not preclude the development of keratectasia after LASIK.

journal_name

Am J Ophthalmol

authors

Ou RJ,Shaw EL,Glasgow BJ

doi

10.1016/s0002-9394(02)01656-2

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

771-3

issue

5

eissn

0002-9394

issn

1879-1891

pii

S0002939402016562

journal_volume

134

pub_type

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