Iatrogenic keratectasia after LASIK in a case of forme fruste keratoconus

J Cataract Refract Surg. 1998 Jul;24(7):1007-9. doi: 10.1016/s0886-3350(98)80057-6.


We report an iatrogenic corneal ectasia that developed after laser in situ keratomileusis (LASIK) in a case of forme fruste keratoconus. One month postoperatively, corneal topography revealed a central steep area that showed rapid progression. Visual acuity in the eye decreased from 20/20 to 20/80. Corneas with forme fruste keratoconus may have altered biomechanical properties compared with normal corneas. Forme fruste keratoconus may be a contraindication for LASIK.

Publication types

  • Case Reports

MeSH terms

  • Cornea / pathology*
  • Corneal Topography
  • Corneal Transplantation / adverse effects*
  • Dilatation, Pathologic / etiology
  • Female
  • Humans
  • Iatrogenic Disease
  • Keratoconus / surgery*
  • Laser Therapy / adverse effects*
  • Middle Aged
  • Visual Acuity