Hyperopic keratoconus.
OBJECTIVE
To report three patients (four eyes) with hyperopic keratoconus.


METHODS
Patients were evaluated with corneal curvature topography, ultrasonic pachymetry, and rotating Scheimpflug camera.


RESULTS
One patient, without other risk factors, developed unilateral ectasia after LASIK following primary hyperopic ablation in an eye suspicious for keratoconus. Two additional hyperopic patients (three eyes) had curvature and elevation findings compatible with keratoconus.


CONCLUSIONS
Although rare, keratoconus could present in hyperopia. If keratoconus is suspected, we suggest avoidance of LASIK and its potential for development of corneal ectasia.
Abad
Juan Carlos
JC
Laser Eye Center of Miami, FL 33145, USA. jcabad@gmail.com
Awad
Abraham
A
Kurstin
Joseph M
JM
D000368:Aged; D000075202:Contraindications; D003315:Cornea / Q000000981:diagnostic imaging / Q000473:pathology; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology; D019781:Corneal Topography; D004108:Dilatation, Pathologic / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D006956:Hyperopia / Q000150:complications* / Q000601:surgery*; D007640:Keratoconus / Q000150:complications*; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010781:Photography; D014463:Ultrasonography