Refractive Laser Treatment Post ICL in High Myopia by PRK
Corneal refractive surgeries are the preferred and safest surgical techniques for the correction of mild and moderate myopia [1]. In the case of high myopia and thick cornea, it is preferable to use phakic intraocular lenses (PIOLs). PIOLs induce very few
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Refractive Laser Treatment Post ICL in High Myopia by PRK Jorge L. Alió, Alessandro Abbouda, and Angelo Rampone
Contents
Why Is This Case Relevant for the Refractive Surgeon?
Why Is This Case Relevant for the Refractive Surgeon? ..................................
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Case Background ...................................................
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Main Problem to Solve ..........................................
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Ancillary Tests ........................................................
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Surgical/Medical Intervention ..............................
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Outcome ..................................................................
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What to Learn from This Case? ...........................
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References ...............................................................
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J.L. Alió, MD, PhD (*) Department of Refractive Surgery, Vissum Corporación Oftalmológica, Alicante, Spain e-mail: [email protected] A. Abbouda, MD Department of Refractive Surgery, Vissum Corporación Oftalmológica, Alicante, Spain Department of Ophthalmology-Policlinico Umberto I of Rome, University of Rome “Sapienza”, Viale del Policlinico, 155, 00186 Roma, Italy R&D Department, Vissum Corporación Oftalmológica, 03016, Alicante, Spain e-mail: [email protected] A. Rampone, MD Department of Ophthalmology, Seconda Università degli Studi di Napoli, Naples, Italy R&D Department, Vissum Corporación, Alicante 03016, Alicante, Spain e-mail: [email protected]
Corneal refractive surgeries are the preferred and safest surgical techniques for the correction of mild and moderate myopia [1]. In the case of high myopia and thick cornea, it is preferable to use phakic intraocular lenses (PIOLs). PIOLs induce very few ocular high-order aberrations and the contrast sensitivity is better than corneal refractive surgery. We present a case that needed, after the implantation of an Implantable Collamer Lens (ICL; STAAR Surgical Co., Monrovia, Calif.), a corneal refractive treatment to achieve a good visual acuity.
Case Background A 24-year-old woman with no ocular surgical history presented in our institute for refractive surgery evaluation. Her manifest refraction was −9.75, −1.00 × 95° in the right eye (RE) and −12.5, −1.0 × 50° in the left eye (LE). Keratometry reading were 43.08/43.56 × 13 in the RE and 42.84/43.56 × 143 in the LE. The topography showed a warpage aspect in both eyes (Fig. 3.1). Her best corrected visual acuity (BCVA) was 20/20. Both slit-lamp and fundus examinations were normal. The endothelial count was 2,589 in the RE and 2,318 in the
J.L. Alió et al. (eds.), Difficult and Complicated Cases in Refractive Surgery, DOI 10.1007/978-3-642-55238-0_3, © Springer-Verlag Berlin Heidelberg 2015
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J.L. Alió et al.
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did not show any changes with respect to the beginning. The patient was not satisfied with her refraction because she was hoping to be completely spectacle-free. According to the pachymetry value, we decided to perform a trans-epithelial PRK.
Ancillary Tests Manifest refraction after ICL, visual acuity, corneal topography,
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