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Management of high myopia and astigmatism in keratoconus

Case Report Details

First Author: L.Buratto ITALY

Co Author(s):    U. Bassi   S. Ferrandes                 

Abstract Details

Purpose:

In this case report we show the 6 years follow-up of a young patient with high myopia, astigmatism and keratoconus. We explain our surgical decision on the evidence of the clinical datas

Setting:

CAMO in Milan

Report of Case:

In this young patient we first performed a cross linking in both eyes in order to give stability to the cornea and reduce the progression of the ectasia. After two years the left eye showed a steepening in K readings and an increase in posterior elevation. Thus we decided to implant in this eye two intracorneal rings to reshape the cornea and give a better visual acuity. Three years later, gained a stable topography and refraction, we decided to implant a toric phakic IOL in both eyes.

Conclusion/Take Home Message:

Correction of high myopia and astigmatism in keratoconus is possible but requires an adequate follow-up and an accurate interpretation of clinical datas

Financial Disclosure:

None

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