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  • Title: Iatrogenic keratectasia after a deep primary keratotomy during laser in situ keratomileusis.
    Author: Haw WW, Manche EE.
    Journal: Am J Ophthalmol; 2001 Dec; 132(6):920-1. PubMed ID: 11730659.
    Abstract:
    PURPOSE: To describe a case of keratectasia after a deep primary keratotomy during an aborted laser in situ keratomileusis procedure. METHODS: Retrospective, observational case report. RESULTS: In a 47-year-old woman, progressive keratectasia developed after a 90% depth keratotomy during an aborted laser in situ keratomileusis procedure. This case was managed with a rigid gas permeable contact lens and consideration for penetrating keratoplasty. CONCLUSION: Keratectasia is a reported microkeratome-related complication after laser in situ keratomileusis. Appropriate microkeratome assembly and surgeon awareness are necessary to avoid this complication.
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