title: [Long-term results of lasik refractive error correction after penetrating keratoplasty in patients with keratoconus].
abstract: OBJECTIVE
  To evaluate the long term results of Lasik for residual refractive errors (RE) after penetrating keratoplasty (PKP) for keratoconus (KC).
  
  
  METHODS
  Retrospective cohort.
  
  
  METHODS
  Records of 14 consecutive patients (19 eyes) who had Lasik after PKP for KC were retrospectively reviewed. In all eyes with refractive stability and suture removed before Lasik, far distance Visual Acuity with (AVCC) and without correction (AVSC), spherical equivalent (EE), refractive (Ast) and keratometric (dK) astigmatism were analyzed pre- and post-operatively before and after one year of follow up. Data were analyzed using Shapiro-Wilk normality test, Student t test and Mann-Whitney test. A P-value of <0,05 was considered statistically significant.
  
  
  RESULTS
  The mean follow-up time was 3.16 months for the follow-up before one year postoperative and 5.8 years for the follow-up after one year postoperative. The best spectacle corrected visual acuity of 0,11 LogMAR (DE 0,07) before Lasik remained stable throughout the study. The SE decreased from -2.6 (DE 3.53) to -0,36 D (DE 1.33) (P<.05) for the follow-up before one year postoperative and -1.28 D (DE 1.63) (P=.07) for the follow-up after one year postop. The refractive cylinder was reduced from -3.43 (DE 1.35) preoperative to -1.37 D (DE 1.24) (P<.05) and -3.21 D (DE 2.29) (P=.36) in the long term after one year of follow-up.
  
  
  CONCLUSIONS
  Lasik refractive results regress one year after the operation; therefore it is not an effective long-term surgical refractive procedure for residual refractive errors after PKP for KC.
authors.affiliation: Clínica Oftalmológica Pasteur, Servicio de Oftalmología, Hospital del Salvador, Universidad de Chile, Santiago, Chile. Electronic address: rodrigod@manquehue.net.
authors.forename: R
authors.initials: R
authors.lastname: Donoso
authors.affiliation: Clínica Oftalmológica Pasteur, Servicio de Oftalmología, Hospital del Salvador, Universidad de Chile, Santiago, Chile.
authors.forename: C
authors.initials: C
authors.lastname: Díaz
authors.affiliation: Clínica Oftalmológica Pasteur, Servicio de Oftalmología, Hospital del Salvador, Universidad de Chile, Santiago, Chile.
authors.forename: P
authors.initials: P
authors.lastname: Villavicencio
mesh_terms: D000328:Adult; D001251:Astigmatism / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007640:Keratoconus / Q000150:complications / Q000601:surgery*; D020731:Keratomileusis, Laser In Situ; D015948:Keratoplasty, Penetrating; D012008:Recurrence; D012030:Refractive Errors / Q000209:etiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity
keywords: Astigmatism; Astigmatismo; Error refractivo; Keratoconus; Lasik; Penetrating keratoplasty; Queratocono; Queratoplastía penetrante; Refractive error