ESCRS - PP06.02 - Corneal Allogenic Intrastromal Ring Segment Implantation For Post Laser-Assisted In-Situ Keratomileusis Keratectasia

Corneal Allogenic Intrastromal Ring Segment Implantation For Post Laser-Assisted In-Situ Keratomileusis Keratectasia

Published 2022 - 40th Congress of the ESCRS

Reference: PP06.02 | Type: Case report | DOI: 10.82333/cbqm-6211

Authors: Timothy Kalas 1 , David Gunn* 2

1Ophthalmology,Sunshine Coast Hospital and Health Service,Birtinya,Australia, 2Ophthalmology,Mater Hospital Brisbane,Brisbane,Australia;Faculty of Medicine,University of Queensland,Brisbane,Australia

We present the first report of corneal allogenic intrastromal ring segment surgery (CAIRS) combined with corneal collagen cross-linking (CXL) for the treatment of post-laser in-situ keratomileusis (LASIK) keratectasia. 

The patient underwent treatment at the Queensland Eye Institute, a private ophthalmology practice in Brisbane, Queensland, Australia. 

A 52 year old male presented with gradual blurring of vision following previous myopic LASIK. He was diagnosed with post-LASIK ectasia and subsequently underwent CAIRS surgery followed by oxygen-enriched transepithelial topography-guided CXL. At 3 month review, the patient reported subjective vision improvement, his UDVA had improved from 20/200 to 20/30 and CDVA improved from 20/30 to 20/20. Subjective refraction was improved from +3.25/-12.00 x66 to +4.25/-5.25 x 47. No complications were noted. 

This case shows early successful treatment of post-LASIK ectasia with CAIRS combined with CXL.