Risk Factors in Post-LASIK Corneal Ectasia

Purpose. To evaluate the risk factors for post-laser in situ keratomileusis (LASIK) ectasia. Materials and Methods. Medical records of 42 eyes of 28 (10 women, 18 men) patients who developed corneal ectasia after LASIK were retrospectively reviewed. Topographical features and surgical parameters of...

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Main Authors: Mehmet Gurkan Tatar, Feride Aylin Kantarci, Aydin Yildirim, Haşim Uslu, Hatice Nur Colak, Hasan Goker, Bulent Gurler
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2014/204191
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author Mehmet Gurkan Tatar
Feride Aylin Kantarci
Aydin Yildirim
Haşim Uslu
Hatice Nur Colak
Hasan Goker
Bulent Gurler
author_facet Mehmet Gurkan Tatar
Feride Aylin Kantarci
Aydin Yildirim
Haşim Uslu
Hatice Nur Colak
Hasan Goker
Bulent Gurler
author_sort Mehmet Gurkan Tatar
collection DOAJ
description Purpose. To evaluate the risk factors for post-laser in situ keratomileusis (LASIK) ectasia. Materials and Methods. Medical records of 42 eyes of 28 (10 women, 18 men) patients who developed corneal ectasia after LASIK were retrospectively reviewed. Topographical features and surgical parameters of those patients were evaluated. Results. The mean age of patients was 34.73±6.50 (23–48) years and the mean interval from LASIK to the diagnosis of post-LASIK ectasia was 36.0±16.92 (12–60) months. The following factors were determined as a risk factors: deep ablation (>75 μm) in 10 eyes, FFK (forme fruste keratoconus) in 6 eyes, steep cornea (>47 D) in 3 eyes, pellucid marginal degeneration (PMD) in 2 eyes, thin cornea (<500 μm) in 2 eyes, thin and steep cornea in 2 eyes, thin cornea and deep ablation in 5 eyes, FFK and steep cornea in 2 eyes, and FFK, steep cornea, and deep ablation in 1 eye. However no risk factor has been determined in 9 eyes (21.4%). Conclusion. The findings of our study showed that most of the patients who developed post-LASIK ectasia have a risk factor for post-LASIK ectasia. However, the most common risk factor was deep ablation.
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spelling doaj-art-3739c08f03ad4c3481720b5d58f9a8ff2025-02-03T01:29:11ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/204191204191Risk Factors in Post-LASIK Corneal EctasiaMehmet Gurkan Tatar0Feride Aylin Kantarci1Aydin Yildirim2Haşim Uslu3Hatice Nur Colak4Hasan Goker5Bulent Gurler6Department of Ophthalmology, Medicine Faculty, Fatih University, Eski Londra Asfaltı, Hürriyet Mah. Dumlupınar Sokak No. 10, Şirinevler-Bahçelievler, 34192 İstanbul, TurkeyDepartment of Ophthalmology, Medicine Faculty, Fatih University, Eski Londra Asfaltı, Hürriyet Mah. Dumlupınar Sokak No. 10, Şirinevler-Bahçelievler, 34192 İstanbul, TurkeyDepartment of Ophthalmology, Medicine Faculty, Fatih University, Yalı Mah. Sahil Yolu Sokak No. 16, Maltepe, 34844 İstanbul, TurkeyDepartment of Ophthalmology, Medicine Faculty, Fatih University, Yalı Mah. Sahil Yolu Sokak No. 16, Maltepe, 34844 İstanbul, TurkeyDepartment of Ophthalmology, Medicine Faculty, Fatih University, Atatürk M. Sütçü İmam Caddesi No. 14, Ümraniye, 34764 İstanbul, TurkeyDepartment of Ophthalmology, Medicine Faculty, Fatih University, Atatürk M. Sütçü İmam Caddesi No. 14, Ümraniye, 34764 İstanbul, TurkeyDepartment of Ophthalmology, Medicine Faculty, Fatih University, Yalı Mah. Sahil Yolu Sokak No. 16, Maltepe, 34844 İstanbul, TurkeyPurpose. To evaluate the risk factors for post-laser in situ keratomileusis (LASIK) ectasia. Materials and Methods. Medical records of 42 eyes of 28 (10 women, 18 men) patients who developed corneal ectasia after LASIK were retrospectively reviewed. Topographical features and surgical parameters of those patients were evaluated. Results. The mean age of patients was 34.73±6.50 (23–48) years and the mean interval from LASIK to the diagnosis of post-LASIK ectasia was 36.0±16.92 (12–60) months. The following factors were determined as a risk factors: deep ablation (>75 μm) in 10 eyes, FFK (forme fruste keratoconus) in 6 eyes, steep cornea (>47 D) in 3 eyes, pellucid marginal degeneration (PMD) in 2 eyes, thin cornea (<500 μm) in 2 eyes, thin and steep cornea in 2 eyes, thin cornea and deep ablation in 5 eyes, FFK and steep cornea in 2 eyes, and FFK, steep cornea, and deep ablation in 1 eye. However no risk factor has been determined in 9 eyes (21.4%). Conclusion. The findings of our study showed that most of the patients who developed post-LASIK ectasia have a risk factor for post-LASIK ectasia. However, the most common risk factor was deep ablation.http://dx.doi.org/10.1155/2014/204191
spellingShingle Mehmet Gurkan Tatar
Feride Aylin Kantarci
Aydin Yildirim
Haşim Uslu
Hatice Nur Colak
Hasan Goker
Bulent Gurler
Risk Factors in Post-LASIK Corneal Ectasia
Journal of Ophthalmology
title Risk Factors in Post-LASIK Corneal Ectasia
title_full Risk Factors in Post-LASIK Corneal Ectasia
title_fullStr Risk Factors in Post-LASIK Corneal Ectasia
title_full_unstemmed Risk Factors in Post-LASIK Corneal Ectasia
title_short Risk Factors in Post-LASIK Corneal Ectasia
title_sort risk factors in post lasik corneal ectasia
url http://dx.doi.org/10.1155/2014/204191
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