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Robert F. Friedman, MD; James Chodosh, MD; Thomas C. Wolf, MD
Oklahoma City, Okla

Arch Ophthalmol. 1997;115(7):925-926.

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

Automated lamellar keratoplasty (ALK) and its stepchild, laser in situ keratomileusis (LASIK), are emerging treatments for the correction of myopia and hyperopia. We describe 3 patients with severe complications of ALK and poor visual outcomes.

Report of Cases.

Case 1.

A 33-year-old man underwent uncomplicated ALK in the left eye for 2.25 diopters (D) of hyperopia. On the first postoperative day, the bandage contact lens was removed and the patient noted a foreign body sensation and decreased vision. He presented to the Dean A. McGee Eye Institute, Oklahoma City, Okla, 2 months later with a refractive error of 16.75 + 1.50x65 and a visual acuity of 20/125 OS. Slit-lamp examination of the left eye revealed an absent corneal cap (Figure 1). The corneal bed was thinned and scarred. The patient declined corneal transplantation.

Case 2.

A 32-year-old woman had refractive findings and a visual acuity of –9.00+2.00x105 and 20/25 OD and . . . [Full Text PDF of this Article]

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