Bilateral keratoconus after LASIK in a keratoconus patient.
OBJECTIVE
To describe a case of bilateral keratoconus occurring after LASIK in a keratoconus suspect.


METHODS
Case report.


RESULTS
A 33-year-old male presented to our institution for evaluation of poor vision 4 years after undergoing bilateral LASIK for the treatment of compound myopic astigmatism. Corneal topography examination showed marked bilateral inferior steepening, and a slitlamp examination revealed classic signs of keratoconus. A review of his preoperative corneal topography showed bilateral inferior steepening, but no other clinical signs of keratoconus were noted at the time of the operation.


CONCLUSIONS
A finding of inferior steepening on corneal topography examination should be regarded as a contraindication to the LASIK procedure.
Chiang
Robert K
RK
Cornea Service, Wills Eye Hospital, Philadelphia, PA 19107, USA.
Park
Anna J
AJ
Rapuano
Christopher J
CJ
Cohen
Elisabeth J
EJ
D000328:Adult; D001251:Astigmatism / Q000601:surgery*; D003315:Cornea / Q000473:pathology*; D019781:Corneal Topography; D004108:Dilatation, Pathologic; D006801:Humans; D007640:Keratoconus / Q000209:etiology* / Q000601:surgery*; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D009216:Myopia / Q000601:surgery*