The treatment of trauma with topographic guided ablation is dependent on the level of scarring caused by the trauma, and the amount of corneal tissue available for correction. All repair cases must be evaluated individually, and trauma cases even more so as the extent and depth of corneal scarring must be determined to see if improvement can be made.
The second case on this page was a traumatic flap loss of a prior LASIK, and correction of this was performed before topographic guided ablation was available, so normal aspheric ablation laser correction was performed. It is included here as an interesting case to show that even flap loss does not mean that a patient cannot have a good outcome of their vision.
46 year old male, OD T-CAT + WFO PRK.
Pre-Op Manifest; OD: +3.25-0.25X010 BCVA 20/40
T-CAT Treatment; OD: +0.00-0.25X054
WFO Treatment; OD: +1.00 D/S
1 ENH WFO; OD: +2.25 D/S
1 Year Post Op: OD Refraction: +1.00 and 20/25
35 year old male, OD LASIK
Pre-Op Manifest; OD: -5.25-0.50X180 BCVA: 20/20
Pre-Op Pachymetry; OD: 560
PRK ENH 4 years later; OD: -5.00-1.25×090
Post Injury Pachymetry; OD: 462
2.5 year Post-Op; plano and 20/15
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