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Inadvertent anterior breakthrough as a complication of femtosecond intrastromal astigmatic keratotomy (FIAK)

Poster Details

First Author: V.Diakonis GREECE

Co Author(s):    G. Kymionis   V. Kankariya   S. Yoo        

Abstract Details


We describe a case of anterior breakthrough after femtosecond assisted intra-stromal arcuate astigmatic keratotomies (FIAK) in a post-cataract/peudophakic patient presenting with residual astigmatism of less than 1.50 D (diopters).


Bascom Palmer Eye Institute


Inadvertent anterior gas breakthrough was noticed intra-operatively in the left eye of the patient in only the nasal intra-stromal arcuate cut.


Post-operative refractive overcorrection, irregular corneal astigmatism and loss of corrected distance visual acuity, resulted after this complication.


Careful operative planning and modification in the laser settings may avoid similar complications, resulting in optimum postoperative outcomes. FINANCIAL INTEREST: NONE

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