Articles: PDF OnlyWedge resection in the cone after failed refractive surgery in a patient with keratoconusMartin, Robert G. M.D.*Author Information *Reprint requests to Robert G. Martin, M.D., Carolina Eye Associates, 2170 Midland Road, Southern Pines, North Carolina 28387 Journal of Cataract & Refractive Surgery: May 1995 - Volume 21 - Issue 3 - p 348-350 doi: 10.1016/S0886-3350(13)80145-9 Free Metrics Abstract A 30-year-old man with keratoconus in the right eye had radial keratotomy in the left eye. Two pairs of corneal relaxing incisions (CRIs) were made in the right eye to flatten the central cornea and reduce high astigmatism. The right eye required an enhancement, and two additional arcuate CRIs were made. A corneal ulcer developed in the right eye, with infiltrates in the incision and corneal thinning. Although the second set of CRIs resulted in more regular astigmatism, the corneal thinning and ulcer caused regression at two months postoperatively. A wedge resection was performed to even the irregular astigmatism. The results are presented. © Williams & Wilkins 1995. All Rights Reserved.