LASIK FOR HIGH HYPEROPIA : SAFETY AND OUTCOME

Lasik for hyperopia has been a challenge for surgeons .Over the years, progress has been made to make this surgery safer and more reproducible (larger optical zone, transition zone, etc.).

The purpose of this work is to highlight the biomechanical, topographical, tomographic, and aberrometric parameters necessary for surgical management. 

Refractive Surgery Department, Hamouche Ophthalmology Private Clinic. 

This is the case of a patient (nurse by profession) who presents with a desire to get rid of her glasses. 

Refraction: OD +5.00 (-2.50 at 165)  

                   OS +7.00 (-2.75 at 05)

Best visual acuity             OD 20/20

                                        OS  20/50 (Esotropia with partial accommodative strabismus) 

Examination of the ocular surface revealed no abnormalities, nor did examination of the anterior segment. 

FO and VM3 ruled out retinal pathology. 

After topographic (pachymetry, keratometry), aberrometric (low and high order aberration, alpha angle, kappa angle), and tomographic (epithelial mapping) evaluation: the patient underwent FEMTO LASIK (FLAP 110 ym FS200) and EXCIMER EX500 treatment (OZ 7.00mm) 

Post-operative day 7: patient experiences fluctuating vision.

                                Refraction   OD  +0.50  (-0.75 at 03 )  

                                                ,  OS +0.75  ( -0.50 at 02) 

During follow-up, the patient is fairly satisfied with her vision. There is a decrease in the angle of strabismus deviation, but LASIK retreatment is still being considered (taking into account the risk of regression, the patient's age, keratometric values, and epithelial thickness).

The development of latest-generation lasers has made it possible to treat patients with high hyperopia , thanks to large optical zones and better ablation profiles.

These treatments have produced safe and reproductible results.

Postoperative topographic and tomographic evaluation is essential in order to monitor these patients, gain maximum perspective, and consider new retreatment options.