Abstract
ObjectiveTo describe the use of transepithelial phototherapeutic keratecomy for the long-term treatment of post-laser in situ keratomileusis (LASIK) flap macrostriae. MethodWe present the case of a 22 year old male with visual loss in the left eye due to chronic flap macrostriae that was treated with transepithelial PTK. ResultsStriae and haze were no longer visible, with a significant improvement of best corrected visual acuity. Refraction in the third month was +9.75–4.00×170°. A phakic intraocular lens was implanted one year later with an uncorrected visual acuity of 0.8. ConclusionsPTK can solve chronic flap striae, but refraction outcome is unpredictable.
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