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Case Reports in Ophthalmological Medicine
Volume 2012 (2012), Article ID 190953, 4 pages
http://dx.doi.org/10.1155/2012/190953
Case Report

Femtosecond Laser Refractive Surgery after Descemet Stripping-Automated Endothelial Keratoplasty

Cornea and External Diseases Service, Moorfields Eye Hospital NHS Trust, London, 162 City Road, London EC1V 2PD, UK

Received 28 November 2011; Accepted 19 January 2012

Academic Editors: A. Ferreras and R. Khandekar

Copyright © 2012 Simon Sheung Man Fung et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To report the use of femtosecond laser-assisted in situ keratomileusis (LASIK) in the treatment of hyperopia subsequent to Descemet stripping-automated endothelial keratoplasty (DSAEK). Methods. Interventional case report. Results. A 66-year-old woman with Fuchs endothelial dystrophy developed bullous keratopathy after cataract surgery in her right eye. She underwent DSAEK with a significant postoperative hyperopic shift in her refraction. Thirteen months after DSAEK, she underwent wavefront-guided, femtosecond laser-assisted LASIK (IntraLase, Inc., Irvine, CA/AMO, Inc., IL, USA). Pretreatment unaided visual acuity was 20/120, and best-corrected visual acuity was 20/20 with a refraction of + 3 . 2 5 / 0 . 5 0 × 1 7 0 . One year after laser refractive correction, unaided visual acuity was 20/20 with a refraction of + 0 . 2 5 / 0 . 7 5 × 1 6 0 . Conclusion. To our knowledge, this is the first paper on the successful treatment of hyperopic shift related to DSAEK with wavefront-guided, femtosecond laser-assisted LASIK.