Iatrogenic keratectasia after a deep primary keratotomy during laser in situ keratomileusis.
OBJECTIVE
To describe a case of keratectasia after a deep primary keratotomy during an aborted laser in situ keratomileusis procedure.


METHODS
Retrospective, observational case report.


RESULTS
In a 47-year-old woman, progressive keratectasia developed after a 90% depth keratotomy during an aborted laser in situ keratomileusis procedure. This case was managed with a rigid gas permeable contact lens and consideration for penetrating keratoplasty.


CONCLUSIONS
Keratectasia is a reported microkeratome-related complication after laser in situ keratomileusis. Appropriate microkeratome assembly and surgeon awareness are necessary to avoid this complication.
Haw
W W
WW
Department of Ophthalmology at Stanford University School of Medicine, 300 Pasteur Dr., Ste A157, Stanford, CA 94305, USA
Manche
E E
EE
D001251:Astigmatism / Q000601:surgery; D003261:Contact Lenses; D003315:Cornea / Q000473:pathology*; D019781:Corneal Topography; D004108:Dilatation, Pathologic / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008875:Middle Aged; D009216:Myopia / Q000601:surgery; D012189:Retrospective Studies; D014792:Visual Acuity