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Wavefront aberrations from corneal ectasia after laser in situ keratomileusis demonstrated by InterWave aberrometry
J Bradley Randleman1, Keith P Thompson, P Randall Staver
1Emory University, Department of Ophthalmology, Atlanta, GA, USA. Jrandle@emory.edu
Purpose:
To report a case of corneal ectasia after laser in situ keratomileusis (LASIK). The patient presented with minimal alterations in manifest refraction but had obvious distortions in the wavefront error of the eye, as demonstrated by InterWave aberrometry.
Methods:
Retrospective case report and literature review.
Results:
Three years following uneventful and initially successful LASIK and two subsequent enhancement procedures, a patient experienced a decrease in uncorrected and best spectacle-corrected visual acuity with only minor changes in manifest refraction and initially subtle changes on corneal topography. InterWave aberrometry showed a wavefront distortion consistent with progressive steepening of the anterior cornea, reflecting possible development of corneal ectasia.
Conclusions:
InterWave aberrometry in conjunction with corneal topography was useful for early recognition of the development of corneal ectasia after LASIK.
