Femtosecond Laser Refractive Surgery after Descemet Stripping-Automated Endothelial Keratoplasty

الملخص EN

Purpose.

To report the use of femtosecond laser-assisted in situ keratomileusis (LASIK) in the treatment of hyperopia subsequent to Descemet stripping-automated endothelial keratoplasty (DSAEK).

Methods.

Interventional case report.

Results.

A 66-year-old woman with Fuchs endothelial dystrophy developed bullous keratopathy after cataract surgery in her right eye.

She underwent DSAEK with a significant postoperative hyperopic shift in her refraction.

Thirteen months after DSAEK, she underwent wavefront-guided, femtosecond laser-assisted LASIK (IntraLase, Inc., Irvine, CA/AMO, Inc., IL, USA).

Pretreatment unaided visual acuity was 20/120, and best-corrected visual acuity was 20/20 with a refraction of +3.25/−0.50×170.

One year after laser refractive correction, unaided visual acuity was 20/20 with a refraction of +0.25/−0.75×160.

Conclusion.

To our knowledge, this is the first paper on the successful treatment of hyperopic shift related to DSAEK with wavefront-guided, femtosecond laser-assisted LASIK.