Articles: PDF OnlyLaser in situ keratomileusis after automated lamellar keratoplasty and penetrating keratoplastyParisi, Albino MDa; Salchow, Daniel J.; Zirm, Mathias E. MD; Stieldorf, Cornelia MDAuthor Information aReprint requests to Albino Parisi, MD, c/o Fallmerayerstraße 3, 6020 Innsbruck, Austria. Presented at the XIVth Congress of the European Society of Cataract and Refractive Surgeons, Gothenburg, Sweden, October 1996. Journal of Cataract & Refractive Surgery: September 1997 - Volume 23 - Issue 7 - p 1114-1118 doi: 10.1016/S0886-3350(97)80090-9 Free Metrics Abstract We present three patients who had laser in situ keratomileusis (LASIK) after corneal surgery as follows: 15 months after automated lamellar keratoplasty (ALK) for hyperopia, 6 months after ALK for hyperopia, and 2 years after penetrating keratoplasty (PKP). Although the first case was uneventful, intraoperative complications arose in the second case because the connection of the ALK-related flap to its stromal bed was insufficient. In the third case, the refractive error caused by PKP was corrected as shown by corneal topography and visual acuity measurement. In conclusion, LASIK after PKP can be considered a precise and safe procedure if 2 to 3 years pass between the procedures. An interval of 6 months between ALK and LASIK was too short, whereas 15 months after ALK for hyperopia, LASIK was performed without problems and delivered a good result. © Williams & Wilkins 1997. All Rights Reserved.