nasr, youssef saint george hospital university medical center - department of ophthalmology, Beirut, Lebanon , jabroun, mireille saint george hospital university medical center - department of ophthalmology, Beirut, Lebanon , bustros, youssef saint george hospital university medical center - department of ophthalmology, Beirut, Lebanon

CORNEAL ECTASIA FIFTEEN YEARS POST PHOTOREFRACTIVE KERATECTOMY IN ONE EYE AND LASER IN-SITU KERATOMILEUSIS IN THE FELLOW EYE OF A LEBANESE PATIENT

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Purpose : To report a case of bilateral corneal ectasia fifteen years post photorefractive keratectomy (PRK) in one eye and laser in-situ keratomileusis (LASIK) in the fellow eye. Case : A 35-year-old-female with no previous illnesses and a presumably normal topographic pattern underwent PRK in her right eye and LASIK in the more myopic left eye. A retrospective analysis of the topography pattern with the current medical knowledge revealed the possibility of a form fruste keratoconus in the left eye. After yearly normal examinations, and despite the differences in risk factors and the technique used, the patient developed a bilateral corneal ectasia fifteen years later. Conclusion : Long-term follow-up is essential for the assessment of the safety of different types of keratorefractive surgeries in all patients regardless of their preoperative risk factors.

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corneal ectasia , photorefractive surgeries , PRK , LASIK , late onset , keratoconus

Lebanese Medical Journal

287