December 01, 2004
1 min read
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Contact lens-intolerant patient presents for LASIK correction

Alcon CustomCornea was used in the right eye of a 48-year-old woman.

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History

A 48-year-old, contact lens-intolerant radiologist was seen for LASIK correction in her right eye. Her left eye had been treated with Zyoptix (Bausch & Lomb).

Preoperative examination:
Uncorrected visual acuity (both eyes): 20/400
Manifest refraction (right eye): –325 –050 × 151
Visual acuity: 20/20

Procedure: Alcon CustomCornea

Postoperative refraction:
Uncorrected visual acuity: 20/20
Refraction: –0.25 sphere
Lower-order aberrations (sphere and cylinder): Defocus reduced by 90%. Astigmatism reduced by 70%.
Vertical and horizontal coma: Coma reduced by 70%.
Spherical aberration: Spherical aberration reduced by 20%.

Discussion

There was an excellent reduction in both vertical and horizontal coma with no laser-induced spherical aberration. There was no decrease in contrast sensitivity, both photopic and mesopic (CSV-1000, Vector Vision). The patient now has excellent vision in the dark, which helps her as a radiologist.




Preoperative lower- and higher-order aberrations.



Postoperative lower- and higher-order aberrations.

Images: Mullie M
For Your Information:
  • Marc Mullie, MD, FRCSC, can be reached at Laservue Clinic, 1100 Beaumont Ave., Suite 201, Montreal, Quebec, H3P 3H5; 514-738-6666; fax: 514-738-1769; e-mail: laservue@laservue.net. Dr. Mullie has no direct financial interest in the products mentioned in this article, nor is he a paid consultant for any companies mentioned.