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Abstract #118862 Published in IGR 24-4
Advanced Surface Ablation in a Patient With Suspect Topography: A Case Report
Vilares Morgado R; Guedes J; Guedes J; Guedes J; Ferreira AM; Q Salomão M; Faria-Correia F; Rocha Sousa A; Ambrósio RCureus 2024; 16: e60277
The purpose of this clinical report is to describe a 10-year clinical outcome of advanced surface ablation with photorefractive keratectomy (PRK) in a patient who had been previously incorrectly diagnosed with keratoconus (KC). Corneal ectasia is a rare but extremely relevant complication of laser vision correction, and KC represents a major contraindication for these procedures. Nonetheless, some surface ablation procedures, such as PRK, might be a valid option for particular patients with atypical corneal topography or subclinical or mild forms of KC. Patient education and complete preoperative refractive multimodal imaging are essential for a more conscious therapeutic decision, minimizing iatrogenic ectasia, as well as decreasing the number of patients who are incorrectly denied refractive surgery, as was the patient presented in this study.
Department of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, PRT.
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