Management of Complication after Hyperopic Laser-assisted in-situ Keratomileusis.

Jo, Jaehyuck; Park, Jin Hyoung; Tchah, Hung Won; Kim, Myoung Joon

doi:2017.58.3.337

J Korean Ophthalmol Soc > Volume 58(3); 2017 > Article

Case Report

Journal of the Korean Ophthalmological Society 2017;58(3):337-341.
DOI: https://doi.org/10.3341/jkos.2017.58.3.337 Published online March 15, 2017.

Management of Complication after Hyperopic Laser-assisted in-situ Keratomileusis.

Jaehyuck Jo, Jin Hyoung Park, Hung Won Tchah, Myoung Joon Kim

¹Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mjmjkim@gmail.com
²MISOEYE Clinic, Seoul, Korea.
³Biomedical Research Center, Asan Institute for Life Sciences, University of Ulsan College of Medicine, Seoul, Korea.

원시 교정 라식수술 후 발생한 합병증 치료 1예

조재혁¹⋅박진형^2,3⋅차흥원¹⋅김명준¹

울산대학교 의과대학 서울아산병원 안과학교실¹, 미소EYE안과², 울산대학교 의과대학 아산생명과학연구원³

Correspondence: Myoung Joon Kim,
Email: mjmjkim@gmail.com

Received: 25 August 2016 • Revised: 10 December 2016 • Accepted: 13 February 2017

Abstract

PURPOSE
We present a case of a patient who underwent corneal refractive surgery to improve their corrected visual acuity due to a complication of hyperopic laser-assisted in-situ keratomileusis (LASIK). CASE SUMMARY: The patient complained of decreased vision after hyperopic LASIK surgery 12 years prior. The corrected distance visual acuity (CDVA) was 20/200 in the right eye and 20/32 in the left, with manifested refractions of +1.25 +2.00 × 90 and -0.25 +2.00 × 80, respectively. The patient had a with-the-rule astigmatism. The values of corneal and total spherical aberration, which can be determined as coefficients of the Zernike polynomials, were respectively -1.027 µm and -0.773 µm in the right eye and -0.965 µm and -0.881 µm in the left eye. Slit lamp biomicroscopy revealed no remarkable findings. We performed surface ablation surgery to flatten the central cornea of the patient's right eye. At 12 months after surgery, the CDVA of the patient's right eye was 20/30 and the negative corneal spherical aberration was reduced. CONCLUSIONS: Corneal refractive surgery to reduce negative corneal spherical aberration by flattening the central cornea is one of possible treatment options for the reduced corrected distance visual acuity after hyperopic LASIK.

Key Words: Complication;Hyperopic laser-assisted in-situ keratomileusis (LASIK);Laser refractive surgery