Endothelial decompensation after laser in situ keratomileusis

David T. Vroman, Kerry D. Solomon, Mike P. Holzer, Qun Peng, David J. Apple, Esther M. Bowie

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)2045-2049
Number of pages5
JournalJournal of Cataract and Refractive Surgery
Issue number11
StatePublished - Nov 2002

All Science Journal Classification (ASJC) codes

  • Surgery
  • Ophthalmology
  • Sensory Systems


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