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Iatrogenic keratectasia after a deep primary keratotomy during laser in situ keratomileusis
1Department of Ophthalmology at Stanford University School of Medicine, 300 Pasteur Dr., Ste A157, Stanford, CA 94305, USA
Purpose:
To describe a case of keratectasia after a deep primary keratotomy during an aborted laser in situ keratomileusis procedure.
Methods:
Retrospective, observational case report.
Results:
In a 47-year-old woman, progressive keratectasia developed after a 90% depth keratotomy during an aborted laser in situ keratomileusis procedure. This case was managed with a rigid gas permeable contact lens and consideration for penetrating keratoplasty.
Conclusion:
Keratectasia is a reported microkeratome-related complication after laser in situ keratomileusis. Appropriate microkeratome assembly and surgeon awareness are necessary to avoid this complication.
