[An analysis about the safe range of thickness of the residual corneal stroma bed after LASIK].
OBJECTIVE
To ascertain the safe range of thickness of the residual corneal stroma bed and the length of stable time after LASIK operation.


METHODS
Two hundred and twenty seven eyes were randomly selected from cases treated with LASIK in 2000. The posterior curvature of cornea was measured by Obscan II preoperatively and 1, 2, 3, 6 months, 1 year and 2 year postoperatively. These data were compared and analyzed.


RESULTS
Ectasia of central corneal posterior surface was detected at different degrees in all cases at the early postoperative period after LASIK. Ectasia was more prominent in eyes with thinner corneal stroma bed (< 300 microm). In eyes with thicker corneal stroma, ectasia remained stable or reverting obviously during the first year. The posterior curvature of cornea had no significant difference between 1 year and 2 year after operation in all cases.


CONCLUSIONS
Ectasia of corneal posterior surface presents in the early postoperative period after LASIK. It is safer to reserve more than 300 microm of the corneal stroma bed. The posterior curvature of cornea of all cases remains stable after one year postoperatively.
Du
Zhi-Yu
ZY
Ophthalmic Center, the Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing 400010, China. cqkryk@hotmail.com
Wu
Ning-Ling
NL
Zhang
Da-Yong
DY
Guo
Hong
H
Zheng
Qing
Q
Yan
Pi-Song
PS
D000293:Adolescent; D000328:Adult; D003319:Corneal Stroma / Q000473:pathology*; D019781:Corneal Topography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*