We report the results of laser in situ keratomileusis (LASIK) in a 58-year-old woman with a history of corneal guttata in the right eye and mild Fuchs' dystrophy in the left eye. Preoperative pachymetry was 586 μm and 656 μm, respectively. The surgical treatment was +1.50 diopters (D) in the right eye and +3.25 D in the left eye. Surgery was performed using a VISX S2 Star laser and a Hansatome microkeratome with a 9.5 mm ring. Postoperatively, edema in the right eye resolved and pachymetry returned to 585 μm, but the left cornea decompensated despite maximum medical therapy and had a final pachymetry of 779 μm. The patient was referred to our cornea service for penetrating keratoplasty, which was performed 14 months after the LASIK treatment.
All Science Journal Classification (ASJC) codes
- Sensory Systems