Case studies in refractive surgery 1

This is the first in a short series of four different cases treated at Advance VisionCare, Harley Street over the past two years and recorded by Emma Firmager. They are all unique, and present challenges beyond the normal routine of refractive surgery. They show how it is sometimes possible to treat patients who may not have always been included in the past, or who have had complications from previous surgical experiences.

Figure 1

Figure 2

Special zero compression Hansotome microkeratome head was used. The optic zone size was chosen depending on the scotopic pupil size. Great care was taken to ensure no damage was caused to the previous RK incisions. The surgery was routine, with no complications for either eye.

Follow up

One day
These appointments were of course on separate dates. 
Vision: R  6/12  L 6/7.5  BIN  6/7.5.  No refraction is carried out at one day postoperative.

Biomicroscopic examination: Both corneas and interface clear and quiet. Arcuate cuts visible.
Action: Px to continue FML (qds), Exocin (qds) and Snotears (as required) for one week.

One week
Biomicroscopic examination was as before: