Title: Keratoconus and corneal stability after radial keratectomy in the fellow eye
Abstract: Introduction:Keratoconus has usually been described as bilateral but asymmetric disease andis know that cornealectasia is one of the long-term complications of modern refractive surgery,especially those submitted to laser in situ keratomileusis (LASIK). We describe a patient with keratoconus in theright eye submitted to RK in the left eye who has been followed with noprogression of the ectatic cornea and no complications following refractivesurgery for 18 years. Discussion: Corneal ectasia after refractive surgery is arare event but can be very frustrating for both surgeon and patient. Because unilateral keratoconus is rare, we believe that RKwas performed in our patient on an already ectatic cornea (not clinicallydetected) or with fruste keratoconus. However, neither corneal ectasiaprogressed, nor ectasia was induced by RK in the fellow eye. Corneal ectasias involve complex processes andcareful ophthalmic examination should be performed in refractive surgerypatients.
Publication Year: 2013
Publication Date: 2013-06-17
Language: en
Type: article
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