Edward Manche

Publication Details

  • Latrogenic keratoconus as a complication of radial keratotomy JOURNAL OF CATARACT AND REFRACTIVE SURGERY Shaikh, S., Shaikh, N. M., Manche, E. 2002; 28 (3): 553-555


    A 47-year-old man with a family history of keratoconus had uneventful bilateral radial keratotomy (RK) with astigmatic keratotomy (AK) enhancements 12 years earlier. He noticed a gradual onset of blurry vision with progressively increasing myopic shift. Visual acuity remained poor even with spectacles or soft contact lenses. Slitlamp examination revealed 16 well-healed RK scars and 2 AK scars with marked corneal steepening inferiorly in an area of astigmatic enhancement in the left eye but an otherwise normal fellow eye with 16 well-healed RK scars. He subsequently had penetrating keratoplasty for decreased vision not correctable by rigid gas-permeable contact lenses. Microscopic examination of the corneal button showed findings consistent with keratoconus. This case represents the first documented incidence of corneal ectasia as a complication of primary RK.

    View details for Web of Science ID 000174264300044

    View details for PubMedID 11973109

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