IntraLase-enabled astigmatic keratotomy for correction of astigmatism after Descemet stripping automated endothelial keratoplasty: a case report.
OBJECTIVE
The purpose of this study was to report on the treatment of high astigmatism after Descemet stripping automated endothelial keratoplasty with IntraLase (IntraLase, Inc., Irvine, CA) -enabled astigmatic keratotomy (IEAK).


METHODS
A 85-year-old patient with pseudophakic bullous keratopathy underwent an intraocular lens exchange and Descemet stripping automated endothelial keratoplasty surgery on his left eye. Four months after surgery, high astigmatism was treated with IEAK.


RESULTS
Preoperative uncorrected visual acuity was 20/300 and best spectacle-corrected visual acuity was 20/100 with a refraction of -4.00 + 5.75 x 150. Seven months post-IEAK, uncorrected visual acuity was improved to 20/60 and best spectacle-corrected visual acuity 20/40-2 with a refraction of -1.50 + 2.75 x 100.


CONCLUSIONS
IEAK, as presented here, can be used for the correction of high post-Descemet stripping automated endothelial keratoplasty astigmatism.
Levinger
Eliya
E
Department of Ophthalmology, Toronto Western Hospital, Donald K. Johnson Eye Center, University Health Network, Yonge Eglinton Laser Eye Center, University of Toronto, Ontario, Canada M5T2S8. eliya.levinger@gmail.com
Bahar
Irit
I
Rootman
David S
DS
D000369:Aged, 80 and over; D001251:Astigmatism / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D003315:Cornea / Q000473:pathology / Q000601:surgery*; D003316:Corneal Diseases / Q000601:surgery; D019781:Corneal Topography; D057111:Descemet Stripping Endothelial Keratoplasty / Q000009:adverse effects*; D006801:Humans; D053685:Laser Therapy; D054018:Lasers, Excimer / Q000627:therapeutic use*; D008297:Male; D012029:Refraction, Ocular / Q000502:physiology; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology