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Ectasia Post PRK at Delayed Onset

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Difficult and Complicated Cases in Refractive Surgery

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.

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References

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Correspondence to Jaime Javaloy MD, PHD .

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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

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  • DOI: https://doi.org/10.1007/978-3-642-55238-0_71

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