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Arch Ophthalmol. 2001;119:1714-1716.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Laser-assisted in situ keratomileusis (LASIK) has become the most common surgical option to correct myopia. Certain preexisting conditions are contraindications for LASIK, and they include unstable vision, keratoconus, thin corneas, pregnancy, and autoimmune diseases. A careful evaluation can help select the good candidates and predict which patients will have a guarded outcome. We describe the clinical and histologic features of a patient who underwent penetrating keratoplasty due to progressively worsening vision from corneal ectasia after LASIK.

Report of a Case

A 32-year-old woman came to the Refractive Surgery Center, Wilmer Eye Institute, Baltimore, Md, seeking a second opinion after LASIK was done elsewhere. Her chief complaint was that her vision had worsened since surgery and she could not function anymore with any form of visual aids.

Her ocular history was significant for keratoconus suspected by 2 ophthalmologists but not by the last physician who recommended and performed bilateral simultaneous LASIK. Before LASIK, she wore . . . [Full Text of this Article]

Comment

Corresponding author: Walter J. Stark, MD, The Wilmer Eye Institute at Greenspring Station, 10755 Falls Rd, Suite 110, Baltimore, MD 21093.

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