title: A protocol for topographic-guided corneal repair utilizing the US Food and Drug Administration-approved Wavelight Contoura.
abstract: OBJECTIVE
  To demonstrate how Wavelight Contoura can be used to repair corneas damaged by trauma and prior poor surgical outcomes.
  
  
  METHODS
  Four representative eyes are presented that show different scenarios in which highly irregular corneas can be corrected with Wavelight Contoura using a protocol (named the San Diego Protocol) designed to use the information in Contoura processing. Both laser-assisted in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) were used.
  
  
  RESULTS
  Highly aberrant corneas with large amounts of warpage can be corrected safely with the Wavelight Contoura system. The San Diego Protocol requires individual analysis of each case with decisions based on the level of warpage and the level of epithelial hyperplastic compensation. The need for a second refractive power equalization procedure should be planned for.
  
  
  CONCLUSIONS
  Contoura measured refraction can be integrally used as part of the San Diego Protocol to safely repair highly warped corneas. The refractive outcomes show dramatic improvement in vision, best-corrected visual acuity (BCVA), refraction, and topographic uniformity.
authors.affiliation: Motwani LASIK Institute, San Diego, CA, USA.
authors.forename: Manoj
authors.initials: M
authors.lastname: Motwani
keywords: corneal ablation; corneal irregularity; corneal trauma; decentered excimer laser ablations; higher order aberrations; laser-assisted in situ keratomileusis; photorefractive keratectomy; radial keratotomy; refractive surgery