J Korean Ophthalmol Soc.  2003 Sep;44(9):2178-2183.

A Case of Holmium: YAG Laser Thermal Keratoplasty to Correct Hyperopia Induced by LASIK

• Ahn K
• Lee HW
• Kim WJ
• Chung ES

Abstract

PURPOSE
To report a case of noncontact Ho: YAG laser thermal keratoplasty (LTK) treatment for hyperopia induced by laser in situ keratomilieusis (LASIK). METHODS: Following LASIK in a 32-year-old man with -11.0, consecutive hyperopia of +5.25D was seen at 7 months postoperatively. Ho: YAG LTK was applied to the eye with hyperopia after LASIK, and uncorrected/best-corrected visual acuity (UCVA/BCVA), refraction, central keratometric value were measured at 1day, 2 weeks, 3 months, 5 months, and 15 months after Ho: YAG LTK.
RESULTS
UCVA was improved to 0.9, and no clinically significant complication occurred until 5 months after Ho: YAG LTK. Although mild hyperopic regression was detected 15 months postoperatively, the patient was satisfied with result of Ho: YAG LTK.
CONCLUSIONS
Noncontact Ho: YAG LTK might be considered as a safe and effective measure in correcting LASIK induced hyperopia. Further evaluation is needed to know long-term stabilities of correcting effect.

Keyword

Laser thermal keratoplasty; LASIK; Overcorrection

MeSH Terms

Adult
Corneal Transplantation*
Holmium*
Humans
Hyperopia*
Keratomileusis, Laser In Situ*
Lasers, Solid-State*
Visual Acuity
Holmium