Request for spectacle independence in a 25-year-old patient: September consultation #1

A 25-year-old woman was seen at our clinic with contact lens (CL) intolerance and a request for spectacle independence. Her medical history included asthma and allergic rhinitis. Because of the allergies, the patient used to extensively rub her eyes. Her hobby is boxing.The corrected distance visual acuity at presentation was 20/20 with -4.75 -2.50 × 52 and 20/20 with -5.75 -2.00 × 121 in the right and left eyes, respectively. The subjective refraction 6 months later was -5.00 -1.50 × 60 and -4.75 -1.50 × 121 in the right and left eyes, respectively. Her tear breakup time was 3 and 5 seconds and the Schirmer tear test values were 11.0 and 12.0 mm in the right and left eyes, respectively.The anterior chamber depth (ACD) (measured from the endothelium) was 2.87 mm and 2.89 mm in the right and left eyes, respectively. The corneal thickness was 566 μm and 551 μm of the right and left eyes, respectively. Corneal endothelial cell density was on average 2100 cells/mm for both eyes. Slitlamp biomicroscopy showed some slight punctate keratopathy inferiorly of both corneas. to show the corneal topography and Belin-Ambrósio maps at presentation and 6 months later of the right and left eyes, respectively.(Figure is included in full-text article.)(Figure is included in full-text article.)(Figure is included in full-text article.)(Figure is included in full-text article.).