How To Manage Dissatisfied Patients After Lasik?

Our aim for the patient with hyperopia residual refraction after LASIK is to improve both near and distance vision by changing the corneal shape (Q value) by performing intrastromal myopic lenticule keratoplasty with Smile module.

Eye Hospital, Prishtina, Kosovo

Patient and Surgical Techniques

The patient, who had residual hyperopia and presbyopia and had Lasik surgery 20 years ago, has been using glasses for both distance and near vision for twelve years. The right cornea is clear, CCT,485 μm and UDVA,0.2, CDVA,1.0 to +3.25 diopters and to:16 mm Hg, UNVA, J 7, CNVA, J 2 to +5.50. The left cornea is transparent, CCT,487 μm and UDVA,0.1, CDVA,1.0 +2.50 with diopters:16 mmHg, UNVA, J7, CNVA, J2 with +4.50 diopters.•A 2 mm incision in the right cornea, an intrastromal pocket of 7.60 mm in diameter was prepared with the Smile Module, 

And a -3.75 myopic fresh lenticule was implanted. A 2 mm incision and 7.60 intrastromal pockets were prepared in the left cornea and a -3.0 myopic lenticule was implanted. 

Intrastromal myopic lenticular keratoplasty, can successfully treat both distance and near vision by changing the corneal shape (Q value) in patients who are dissatisfied after LASIK. In the future, many corneal diseases can be treated by changing the shape of the cornea with this method.

ClinicalTrials.gov Identifier: NCT04616144