We present a case of unilateral iatrogenic keratectasia developing 10 months after bilateral laser in situ keratomileusis (LASIK) involving enhancement surgery using a broad-beam excimer laser (Summit Apex) to treat 6.6 diopters (D) of myopia.
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A clinical diagnosis of keratectasia can be suspected when a patient develops unstable vision associated with irregular astigmatism. It usually occurs 6 to 18 months after LASIK surgery, but it may occur at any time.
Source: wiktionary
Increased negative keratometric diopters and oblate asphericity of the PCC are common after LASIK leading to mild keratectasia.
Source: wiktionary
The minimum thickness of residual stroma to prevent ectasia should be 250 mm. However, some unknown factors can still be responsible for iatrogenic keratectasias.
Source: wiktionary