Combined transepithelial phototherapeutic keratectomy and corneal collagen cross-linking for corneal ectasia after small-incision lenticule extraction—preoperative and 3-year postoperative results: a case report

Abstract Background Corneal ectasia after small-incision lenticule extraction (SMILE) is uncommon. To our knowledge, this is the first report of 3-year results of combined phototherapeutic keratectomy (PTK) and corneal collagen cross-linking (CXL) for corneal ectasia after SMILE. Case presentation H...

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Bibliographic Details
Main Authors: Qingman Ge, Chuanbo Cui, Jing Wang, Guoying Mu
Format: Article
Language:English
Published: BMC 2018-07-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-018-0849-4
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Summary:Abstract Background Corneal ectasia after small-incision lenticule extraction (SMILE) is uncommon. To our knowledge, this is the first report of 3-year results of combined phototherapeutic keratectomy (PTK) and corneal collagen cross-linking (CXL) for corneal ectasia after SMILE. Case presentation Herein, we describe a case of prominent corneal ectasia after SMILE treated with PTK combined with CXL 3 years ago. After surgery, maximum corneal keratometry, mean corneal keratometry, spherical equivalent and uncorrected distance visual acuity were significantly improved at follow-up intervals. Conclusions Transepithelial PTK combined with CXL for corneal ectasia after SMILE may be an effective and safe treatment in the long term.
ISSN:1471-2415