Abstract
We describe a patient with flap decentration after laser in situ keratomileusis (LASIK) and subsequent phakic toric intraocular lens (IOL) implantation. A 19-year-old man with mixed astigmatism had LASIK in the left eye complicated by flap decentration. Laser ablation was abandoned and implantation of a phakic toric IOL was done. Ten months after IOL implantation, the uncorrected visual acuity in the left eye was 20/25 and best corrected visual acuity was 20/20 with +0.25 –0.50 × 90. Simulated keratometry values were 44.30@150 and 42.00@60 before LASIK and 45.00@150 and 41.90@60 after IOL implantation. Phakic toric IOL implantation may be adequate treatment for flap decentration after LASIK in cases of mixed astigmatism.
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