Corneal ectasia after an incomplete flap creation in an abandoned laser-assisted in situ keratomileusis

To report a unique case of a 31-year-old woman developing corneal ectasia after an abandoned laser-assisted in situ keratomileusis (LASIK) procedure with incomplete flap creation without laser ablation. A 31-year-old Taiwanese woman presented with corneal ectasia after a failed LASIK with an incompl...

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Main Authors: Hsiao-Fan Tung, Ho-Ling Chen, Yu-Ling Liu, Chang-Ping Lin
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Taiwan Journal of Ophthalmology
Subjects:
Online Access:http://www.e-tjo.org/article.asp?issn=2211-5056;year=2023;volume=13;issue=1;spage=97;epage=100;aulast=Tung
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author Hsiao-Fan Tung
Ho-Ling Chen
Yu-Ling Liu
Chang-Ping Lin
author_facet Hsiao-Fan Tung
Ho-Ling Chen
Yu-Ling Liu
Chang-Ping Lin
author_sort Hsiao-Fan Tung
collection DOAJ
description To report a unique case of a 31-year-old woman developing corneal ectasia after an abandoned laser-assisted in situ keratomileusis (LASIK) procedure with incomplete flap creation without laser ablation. A 31-year-old Taiwanese woman presented with corneal ectasia after a failed LASIK with an incomplete flap creation without laser procedure in her right eye 4 years ago. A visible scar was observed in the flap margin from the 7 to 10 o'clock position. The auto refractometer revealed myopia with high astigmatism, −1.25/−7.25 × 30. Keratometry was 47.00/40.75 D. In contrast, no sign of keratoconus was found in the fellow eye, which did not experience any surgery. Corneal tomography indicated that the incomplete flap scar was compatible with the main area of corneal ectasia. Furthermore, anterior segment optical coherence tomography showed a deep cutting plane and a relatively thin corneal bed. Both findings explained the cause for corneal ectasia. Corneal ectasia can occur whenever corneal structure or integrity is compromised.
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spelling doaj.art-bce52166dc8247db98abeb47b3f32d3b2023-03-21T11:27:43ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722023-01-011319710010.4103/2211-5056.364565Corneal ectasia after an incomplete flap creation in an abandoned laser-assisted in situ keratomileusisHsiao-Fan TungHo-Ling ChenYu-Ling LiuChang-Ping LinTo report a unique case of a 31-year-old woman developing corneal ectasia after an abandoned laser-assisted in situ keratomileusis (LASIK) procedure with incomplete flap creation without laser ablation. A 31-year-old Taiwanese woman presented with corneal ectasia after a failed LASIK with an incomplete flap creation without laser procedure in her right eye 4 years ago. A visible scar was observed in the flap margin from the 7 to 10 o'clock position. The auto refractometer revealed myopia with high astigmatism, −1.25/−7.25 × 30. Keratometry was 47.00/40.75 D. In contrast, no sign of keratoconus was found in the fellow eye, which did not experience any surgery. Corneal tomography indicated that the incomplete flap scar was compatible with the main area of corneal ectasia. Furthermore, anterior segment optical coherence tomography showed a deep cutting plane and a relatively thin corneal bed. Both findings explained the cause for corneal ectasia. Corneal ectasia can occur whenever corneal structure or integrity is compromised.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2023;volume=13;issue=1;spage=97;epage=100;aulast=Tungcorneal ectasiaincomplete flap creationlaser-assisted in situ keratomileusis
spellingShingle Hsiao-Fan Tung
Ho-Ling Chen
Yu-Ling Liu
Chang-Ping Lin
Corneal ectasia after an incomplete flap creation in an abandoned laser-assisted in situ keratomileusis
Taiwan Journal of Ophthalmology
corneal ectasia
incomplete flap creation
laser-assisted in situ keratomileusis
title Corneal ectasia after an incomplete flap creation in an abandoned laser-assisted in situ keratomileusis
title_full Corneal ectasia after an incomplete flap creation in an abandoned laser-assisted in situ keratomileusis
title_fullStr Corneal ectasia after an incomplete flap creation in an abandoned laser-assisted in situ keratomileusis
title_full_unstemmed Corneal ectasia after an incomplete flap creation in an abandoned laser-assisted in situ keratomileusis
title_short Corneal ectasia after an incomplete flap creation in an abandoned laser-assisted in situ keratomileusis
title_sort corneal ectasia after an incomplete flap creation in an abandoned laser assisted in situ keratomileusis
topic corneal ectasia
incomplete flap creation
laser-assisted in situ keratomileusis
url http://www.e-tjo.org/article.asp?issn=2211-5056;year=2023;volume=13;issue=1;spage=97;epage=100;aulast=Tung
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AT holingchen cornealectasiaafteranincompleteflapcreationinanabandonedlaserassistedinsitukeratomileusis
AT yulingliu cornealectasiaafteranincompleteflapcreationinanabandonedlaserassistedinsitukeratomileusis
AT changpinglin cornealectasiaafteranincompleteflapcreationinanabandonedlaserassistedinsitukeratomileusis