Post-LASIK ectasia treated with intrastromal corneal ring segments and corneal crosslinking
Main Article Content
Abstract
Corneal ectasia is a serious complication of laser in situ keratomileusis (LASIK). We report the case of a 29-year-old man who underwent LASIK in both eyes and in whom corneal ectasia developed in the left eye 3 years after surgery. He was treated sequentially with intraocular pressure-lowering medication, intrastromal corneal ring segment (ICRS) implants, and collagen crosslinking. Vision improved and the ectasia stabilized following treatment. Combined ICRS implantation and collagen crosslinking should be considered early in the management of post-LASIK ectasia.
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Randleman JB. Post-laser in-situ keratomileusis ectasia: current understanding and future directions. Curr Opin Ophthalmol 2006;17:406-12. DOI: https://doi.org/10.1097/01.icu.0000233963.26628.f0
Hiatt JA, Wachler BS, Grant C. Reversal of laser in situ keratomileusis-induced ectasia with intraocular pressure reduction. J Cataract Refract Surg 2005;31:1652-5. DOI: https://doi.org/10.1016/j.jcrs.2005.02.031
Alio J, Salem T, Artola A, et al. Intracorneal rings to correct corneal ectasia after laser in situ keratomileusis. J Cataract Refract Surg 2002;28:1568-74. DOI: https://doi.org/10.1016/S0886-3350(01)01275-5
Kymionis GD, Tsiklis NS, Pallikaris AI, et al. Long-term follow-up of Intacs for post-LASIK corneal ectasia. Ophthalmology 2006;113:1909-17. DOI: https://doi.org/10.1016/j.ophtha.2006.05.043
Siganos CS, Kymionis GD, Astyrakakis N, et al. Management of corneal ectasia after laser in situ keratomileusis with INTACS. J Refract Surg 2002;18:43-6. DOI: https://doi.org/10.3928/1081-597X-20020101-06
Kymionis GD, Diakonis VF, Kalyvianaki M, et al. One-year follow-up of corneal confocal microscopy after corneal cross-linking in patients with post laser in situ keratosmileusis ectasia and keratoconus. Am J Ophthalmol 2009;147:774-78. DOI: https://doi.org/10.1016/j.ajo.2008.11.017
Seiler T, Koufala K, Richter G. Iatrogenic keratectasia after laser in situ keratomileusis. J Refract Surg 1998;14:312-7. DOI: https://doi.org/10.3928/1081-597X-19980501-15
Randleman JB, Russell B, Ward MA, Thompson KP, Stulting RD. Risk factors and prognosis for corneal ectasia after LASIK. Ophthalmology 2003;110:267-75. DOI: https://doi.org/10.1016/S0161-6420(02)01727-X
Carrasquillo KG, Rand J, Talamo JH. Intacs for keratoconus and post-LASIK ectasia: mechanical versus femtosecond laser-assisted channel creation. Cornea 2007;26:956-62. DOI: https://doi.org/10.1097/ICO.0b013e31811dfa66
Pokroy R, Levinger S, Hirsh A. Single Intacs segment for post-laser in situ keratomileusis keratectasia. J Cataract Refract Surg 2004;30:1685-95. DOI: https://doi.org/10.1016/j.jcrs.2004.02.050
Kanellopoulos AJ. Post-LASIK ectasia. Ophthalmology 2007;114:1230. DOI: https://doi.org/10.1016/j.ophtha.2007.03.041
Kamburoglu G, Ertan A. Intacs implantation with sequential collagen cross-linking treatment in postoperative LASIK ectasia. J Refract Surg 2008;24:S726-9. DOI: https://doi.org/10.3928/1081597X-20080901-16
anellopoulos AJ, Binder PS. Management of corneal ectasia after LASIK with combined, same-day, topography-guided partial transepithelial PRK and collagen cross-linking: the Athens protocol. J Refract Surg 2011;27:323-31. DOI: https://doi.org/10.3928/1081597X-20101105-01