Contact lens fitting in a patient with keratectasia after laser in situ keratomileusis.
We present a case of unilateral iatrogenic keratectasia developing 15 months after bilateral laser in situ keratomileusis using a broad-beam excimer laser (Bausch & Lomb Keracor 116) to treat -3.5 -1.5 x 85 diopters of myopia. Preoperative pachymetry in the eye measured 450 microm without topographical changes suggesting keratoconus or forme fruste keratoconus. Contact lens fitting to provide 20/25 visual acuity is described.
Eggink
F A
FA
The Eye Hospital Rotterdam, Schiedamsevest 180, 3011 BH Rotterdam, The Netherlands, f.eggink@ohk.azn.nl
Beekhuis
W H
WH
D000328:Adult; D003261:Contact Lenses; D003316:Corneal Diseases / Q000209:etiology / Q000628:therapy*; D019781:Corneal Topography; D004108:Dilatation, Pathologic; D006801:Humans; D007049:Iatrogenic Disease; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D017755:Prosthesis Fitting; D014792:Visual Acuity