Implantable Collamer Lens implantation and limbal relaxing incisions for the correction of hyperopic astigmatism after laser in situ keratomileusis.
OBJECTIVE
To report on a patient in whom hyperopic Implantable Collamer Lenses (ICL, STAAR Surgical, Nidau, Switzerland) and limbal relaxing incisions have been beneficial for the correction of hyperopic astigmatism after laser in situ keratomileusis (LASIK).


METHODS
The 48-year-old man had undergone LASIK to correct high myopia 5 years earlier. Preoperatively, the manifest refraction was +2.25, -1.00 x 160, with an uncorrected visual acuity of 0.15 and a best spectacle-corrected visual acuity of 1.5.


RESULTS
Postoperatively, the manifest refraction was +0.50, -0.5 x 165, with an uncorrected visual acuity of 1.0 and a best spectacle-corrected visual acuity of 1.2. No serious complications were observed during the 10-month observation period.


CONCLUSIONS
Hyperopic Implantable Collamer Lenses implantation combined with limbal relaxing incisions may be an alternative for the treatment of hyperopic astigmatism after overcorrected myopic LASIK.
Kamiya
Kazutaka
K
Department of Ophthalmology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan. kamiyak-tky@umin.ac.jp
Shimizu
Kimiya
K
Komatsu
Mari
M
D001251:Astigmatism / Q000209:etiology / Q000601:surgery*; D019781:Corneal Topography; D006801:Humans; D006956:Hyperopia / Q000209:etiology / Q000601:surgery*; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D019654:Lens Implantation, Intraocular; D016850:Limbus Corneae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery; D054120:Phakic Intraocular Lenses; D012029:Refraction, Ocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology