July 16, 2003
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Inferior steepening should be contraindication to LASIK, surgeons say
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Corneal topography that reveals inferior steepening should be regarded as a contraindication to LASIK, surgeons at Wills Eye Hospital in Philadelphia warn.
Robert Chiang, MD, and colleagues reported the case of a 33-year-old man who had undergone bilateral LASIK 4 years earlier for treatment of compound myopic astigmatism. Corneal topography showed marked bilateral inferior steepening, and a slit-lamp examination showed classic signs of keratoconus. Preoperatively, the patient’s corneal topography had shown bilateral inferior steepening, but no other clinical signs of keratoconus.
The study is published in Eye & Contact Lens: Science and Clinical Practice.