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IntraLase-Enabled Astigmatic Keratotomy for Correction of Astigmatism After Descemet Stripping Automated Endothelial Keratoplasty: A Case Report

Levinger, Eliya MD; Bahar, Irit MD; Rootman, David S MD, FRCSC

doi: 10.1097/ICO.0b013e318199fa2c
Case Report

Purpose: The purpose of this study was to report on the treatment of high astigmatism after Descemet stripping automated endothelial keratoplasty with IntraLase (IntraLase, Inc., Irvine, CA) -enabled astigmatic keratotomy (IEAK).

Methods: A 85-year-old patient with pseudophakic bullous keratopathy underwent an intraocular lens exchange and Descemet stripping automated endothelial keratoplasty surgery on his left eye. Four months after surgery, high astigmatism was treated with IEAK.

Results: Preoperative uncorrected visual acuity was 20/300 and best spectacle-corrected visual acuity was 20/100 with a refraction of -4.00 + 5.75 × 150. Seven months post-IEAK, uncorrected visual acuity was improved to 20/60 and best spectacle-corrected visual acuity 20/40-2 with a refraction of -1.50 + 2.75 × 100.

Conclusion: IEAK, as presented here, can be used for the correction of high post-Descemet stripping automated endothelial keratoplasty astigmatism.

From the Department of Ophthalmology, Toronto Western Hospital, Donald K. Johnson Eye Center, University Health Network, Yonge Eglinton Laser Eye Center, University of Toronto, Ontario, Canada.

Received for publication June 25, 2008; revision received November 19, 2008; accepted December 4, 2008.

The authors state that they have no proprietary interest in the products named in this article.

Reprints: Eliya Levinger, MD, Department of Ophthalmology, Toronto Western Hospital, 399 Bathurst Street, Ontario, Canada M5T2S8 (e-mail: eliya.levinger@gmail.com).

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