Hyperopic LASIK following intracorneal hydrogel lens explantation.
OBJECTIVE
To report hyperopic LASIK results after intracorneal hydrogel lens explantation in a bilateral hyperopic patient.


METHODS
Slit-lamp examination showed diffuse corneal opacity around the lens edge and over the anterior lens surface affecting both eyes with uncorrected visual acuity of 0.4 in the right eye and 0.5 in the left eye.


RESULTS
The intracorneal hydrogel lenses were explanted, and 6 months later hyperopic LASIK using the Schwind ESIRIS excimer laser (Schwind, Kleinostheim, Germany) was performed after lifting the same flap for the intracorneal hydrogel lens implantation. Six months after hyperopic LASIK, visual acuity recovered to the initial preoperative best spectacle-corrected levels: right eye 0.8 with +1.50 D sphere and left eye 0.9 with +1.00 -0.50 x 90 degrees. Central corneal transparency also fully recovered.


CONCLUSIONS
Hyperopic LASIK is a possible alternative after intracorneal hydrogel lens explantation in hyperopic eyes.
Alió
Jorge L
JL
Instituto Oftalmológico de Alicante, Vissum, Alicante, Spain. jlalio@vissum.com
Shabayek
Mohamed H
MH
D000869:Anterior Eye Segment / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate; D006956:Hyperopia / Q000209:etiology / Q000601:surgery*; D020731:Keratomileusis, Laser In Situ / Q000379:methods*; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008875:Middle Aged; D011474:Prosthesis Design; D012029:Refraction, Ocular; D012086:Reoperation; D014792:Visual Acuity
D020136:Hydrogel, Polyethylene Glycol Dimethacrylate