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Published on: July 6, 2015
Femtosecond laser (WaveLight FS200) customized keratoplasty for keratoconus: case report
1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA. syoo@med.miami.edu
Purpose:
To describe a case of a 52-year-old man with severe keratoconus who underwent femtosecond laser-assisted keratoplasty with the WaveLight FS200 femtosecond laser (Alcon Laboratories Inc).
Methods:
The donor and recipient corneas were cut in a mushroom-shaped pattern. The laser parameters used on this platform for the donor and recipient corneas are described.
Results:
Corrected distance visual acuity improved by 3 weeks postoperatively. Mean keratometry decreased from 60.00 to 46.00 diopters.
Conclusions:
This patient underwent a mushroom-shaped keratoplasty with the femtosecond laser to maximize preservation of his own endothelium. Increased energy and/or decreased spot line separation may be required depending on the degree of corneal edema or scarring involved.
