ESCRS - PO0934 - Successful Management Of Central Island Formation After A Femtosecond Lasik Procedure For Hyperopic Astigmatism Correction.

Successful Management Of Central Island Formation After A Femtosecond Lasik Procedure For Hyperopic Astigmatism Correction.

Published 2023 - 41st Congress of the ESCRS

Reference: PO0934 | DOI: 10.82333/g1pf-jr44

Authors: Athanasios Oikonomou* 1 , Nikolaos Ziakas 2 , Petros Stergiopoulos 3 , Michael Grentzelos 4 , Ioannis Bismpas 3 , Maria Samouilidou 2

1Ophthalmology Department ,Central Medical Office of Thessaloniki of Police Association,Thessaloniki,Greece, 22nd University Department of Ophthalmology of Aristotle University of Thessaloniki, Papageorgiou Hospital,Thessaloniki,Greece, 3Ophthalmos Team,Thessaloniki,Greece, 4Guy's and St Thomas' NHS Foundation Trust,London,United Kingdom

To present an efficient management of central island formation after a femtosecond LASIK procedure for hyperopic astigmatism correction.

  1. Ophthalmology Department of Central Medical Office of Thessaloniki of Police Association.
  2. Ophthalmos team.
  3. 2nd University Department of Ophthalmology of Aristotle University of Thessaloniki, Papageorgiou Hospital.
  4. Guy's and St Thomas' NHS Foundation Trust, London UK.

A 35 years old male presented as a refractive surgery candidate for hyperopic astigmatism correction. He was scheduled for a femtosecond LASIK surgery which was uneventful. Next days the vision of the left eye was not improving well and at the tomography from the first week appeared a central island formation. Five months later after stabilization of the refraction and topography a Wavefront-guided PRK procedure on top was performed uneventfully.

Six weeks a after the 2nd refractive surgery procedure the uncorrected vision acuity of the left eye was 10/10 and the tomography was normalized.

When a central island formation appears after refractive surgery it is advisable to perform a wavefront-guided PRK procedure to manage the complication.