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LASIK in myopic patients with dermatological keloids
Alberto Artola1, Ahmed Gala, José I Belda
1Instituto Oftalmológico de Alicante, Refractive Surgery and Cornea Department, Miguel Hernandez University, Spain. rdioa@vissum.com
Purpose:
To evaluate the visual and refractive out come of LASIK in myopic patients with a known history of dermatological keloid scar.
Methods:
This retrospective case series included 10 eyes of 5 white patients with a known history of dermatological keloids. All patients had low to moderate myopia with no corneal or limbal keloid. All underwent uneventful bilateral LASIK. Postoperatively, visual outcomes, refractive outcomes, and complications were evaluated. Minimum 1-year follow-up was indicated for all patients in this study.
Results:
Mean preoperative uncorrected visual acuity (UCVA) was 20/320 and 1 year postoperative 20/20. Mean preoperative best spectacle-corrected visual acuity (BSCVA) was 20/25 and 1 year postoperative was 20/20. The mean preoperative spherical equivalent refraction was -5.00 +/- 2.6 diopters (D) and +0.1 +/- 0.2 D 1 year postoperative. The safety index was 1.02 and the efficacy index was 1.02. None of the included in this study underwent retreatment for correction of residual error or regression up to 1 year postoperatively. No sight-threatening complications were reported. No patient reported postoperative haze, severe dry eye syndrome, or flap-related problems.
Conclusions:
LASIK is a safe, effective, and predictable technique for correcting low and moderate myopia in patients with dermatological keloids.
