Two-year outcome of an eye that underwent hyperopic LASIK following inadvertent myopic SMILE lenticule in situ implantation

Springer Science and Business Media LLC - Tập 19 - Trang 1-5 - 2019
Xingtao Zhou1, Jing Zhao1, Dan Fu1, Lingling Niu1, Yu Zhao1, Jianmin Shang1, Dong Yang1, Haipeng Xu1
1Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Key NHC Key Laboratory of Myopia; Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China

Tóm tắt

This report describes a case in which hyperopic femtosecond laser-assisted in situ keratomileusis (FS-LASIK) was performed following small incision lenticule extraction (SMILE) lenticule in situ implantation. The hyperopic left eye of a 46-year-old patient with refraction of + 7.75 diopters sphere (DS)/− 1.25 diopters cylinder (DC) × 5° and corrected distance visual acuity (CDVA) of 20/50 mistakenly underwent the SMILE procedure for myopic astigmatism (− 8.50 DS/− 1.50 DC × 175°) due to medical negligence. The extracted lenticule was subsequently re-implanted in situ. After 8 months, the left eye underwent FS-LASIK to correct hyperopia and astigmatism (+ 5.0 DS/− 0.75 DC × 100°). Two years after FS-LASIK, corneal tomography showed no ectasia and microscopy revealed transparent cornea. The left eye exhibited CDVA of 20/50 with refraction of − 0.75 DS/− 0.25 DC × 165°. SMILE lenticule in situ implantation offers a solution for corneal volume and thickness restoration. FS-LASIK provides feasible correction of refractive error following lenticule re-implantation. Future studies are needed for determining the effectiveness of the treatment.

Tài liệu tham khảo

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