Abstract
Refractive surgeons are familiar with the risk of ectasia after LASIK. Ectasia after PRK may be due to retreatment, unrecognized keratoconus or forme fruste keratoconus [1, 2]. Koch [3] reported the case of a patient who developed bilateral corneal ectasia after an uneventful PRK. Risk factors for the development of ectasia following excimer laser include high myopia, reduced preoperative corneal thickness, a reduced residual stromal bed after laser ablation and asymmetrical corneal steepening (forme fruste keratoconus) [4]. However, none of these characteristics definitively predict the development of ectasia. We present a case in which corneal ectasia developed 14 years after PRK with no identifiable risk factors, even when a surface ablation was performed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Holland EJ (2005) Ectasia following laser in situ keratomileusis. J Cataract Refract Surg 31:2034
Malecaze F, Coullet J, Calvas P, Fournie P, Arne JL, Brodaty C (2006) Corneal ectasia after photorefractive keratectomy for low myopia. Ophthalmology 113:742–746
Koch DD (1999) The riddle of iatrogenic keratectasia. J Cataract Refract Surg 25:453–454
Randleman JB, Russell B, Ward MA, Thompson KP, Stulting RD (2003) Risk factors and prognosis for corneal ectasia after LASIK. Ophthalmology 110:267–275
Dawson DG, Randleman JB, Grossniklaus HE et al (2008) Corneal ectasia after excimer laser keratorefractive surgery: histopathology, ultrastructure, and pathophysiology. Ophthalmology 115:2181–2191
Spadea L (2012) Collagen crosslinking for ectasia following PRK performed in excimer laser–assisted keratoplasty for keratoconus. Eur J Ophthalmol 22:274–277
Alio JL, Artola A, Claramonte PJ, Ayala MJ, Sanchez SP (1998) Complications of photorefractive keratectomy for myopia: two year follow- up of 3000 cases. J Cataract Refract Surg 24:619–626
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Ayala, M.J., Abbouda, A., Javaloy, J. (2015). Ectasia Post PRK at Delayed Onset. In: Alió, J., Azar, D., Abbouda, A., Aswad, A. (eds) Difficult and Complicated Cases in Refractive Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55238-0_71
Download citation
DOI: https://doi.org/10.1007/978-3-642-55238-0_71
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-55237-3
Online ISBN: 978-3-642-55238-0
eBook Packages: MedicineMedicine (R0)