Case Example Of Ectasia After Lasik, Crosslinking And Piol Implantation By Prof. Renato Ambrósio Jr, Fernando Faria-Correia, Md, Allan Luz, Md - OCULUS Pentacam Interpretation Manual

22.4 Case example of ectasia after LASIK, crosslinking and pIOL
implantation
by Prof. Renato Ambrósio Jr, Fernando Faria-Correia, MD,
Allan Luz, MD
A 25-year-old male patient presented with severe and progressive visual loss (UCVA of counting
fingers at 1 m in both eyes) due to ectasia
was 20/30 (sph -15.0 cyl -2.50 A 15°) in OD and 20/80 (sph -14.25 cyl -6.0 A 0°) in OS. The thinnest
pachymetry value was 408 μm in OD and 395 μm in OS. Given the severity of the clinical picture,
the moderately thin cornea and the presence of contact lens intolerance it was decided to perform
transepithelial crosslinking in both eyes as an alternative to keratoplasty. After refractive stabilization
(with two similar treatments one month apart) pIOLs (AcrySof Cachet) were implanted in both eyes.
At two-year follow-up the patient's UCVA had improved to 20/30 in OD and 20/25 in OS
Figure 185: Preoperative axial curvature map of ectasia after LASIK in both eyes
(Figure 185) following bilateral LASIK in 2006. His BCVA
22 Phakic IOL implantation
(Figure 186).
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