Topography-guided LASIK with the wavelight laser after penetrating keratoplasty.

ABSTRACT

PURPOSE: To report a case of topography-guided LASIK in a patient after previous penetrating keratoplasty. METHODS: A 20-year-old man who had previous penetrating keratoplasty in his right eye for keratoconus and was intolerant to spectacles and contact lenses underwent topography-guided LASIK. RESULTS: Three months postoperatively, the patient's uncorrected visual acuity in the right eye was 20/25(+2). Best spectacle-corrected visual acuity was 20/20, with a manifest refraction of +0.25 -0.75 x 40 degree. CONCLUSION: Topography-guided LASIK is a useful therapeutic modality to address corneal irregularity after penetrating keratoplasty.