KMID : 0360220170580030337
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Journal of the Korean Ophthalmological Society 2017 Volume.58 No. 3 p.337 ~ p.341
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Management of Complication after Hyperopic Laser-assisted in-situ Keratomileusis
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Jo Jae-Hyuck
Park Jin-Hyoung Tchah Hung-Won Kim Myoung-Joon
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Abstract
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Purpose: We present a case of a patient who underwent corneal refractive surgery to improve their corrected visual acuity due to a complication of hyperopic laser-assisted in-situ keratomileusis (LASIK).
Case summary: The patient complained of decreased vision after hyperopic LASIK surgery 12 years prior. The corrected distance visual acuity (CDVA) was 20/200 in the right eye and 20/32 in the left, with manifested refractions of +1.25 +2.00 ¡¿ 90 and -0.25 +2.00 ¡¿ 80, respectively. The patient had a with-the-rule astigmatism. The values of corneal and total spherical aberration, which can be determined as coefficients of the Zernike polynomials, were respectively -1.027 ¥ìm and -0.773 ¥ìm in the right eye and -0.965 ¥ìm and -0.881 ¥ìm in the left eye. Slit lamp biomicroscopy revealed no remarkable findings. We performed surface ablation surgery to flatten the central cornea of the patient¡¯s right eye. At 12 months after surgery, the CDVA of the patient¡¯s right eye was 20/30 and the negative corneal spherical aberration was reduced.
Conclusions: Corneal refractive surgery to reduce negative corneal spherical aberration by flattening the central cornea is one of possible treatment options for the reduced corrected distance visual acuity after hyperopic LASIK.
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KEYWORD
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Complication, Hyperopic laser-assisted in-situ keratomileusis (LASIK), Laser refractive surgery
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