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November 1996

Late Dislocation of a Corneal Cap After Automated Lamellar Keratoplasty and Epithelial Debridement for Retinal Surgery

Author Affiliations

Great Neck, NY

Arch Ophthalmol. 1996;114(11):1420. doi:10.1001/archopht.1996.01100140620020

Automated lamellar keratoplasty (ALK) has gained renewed interest as a keratorefractive procedure for the correction of high myopia and hyperopia. Although the procedure has been performed for the past decade,1 only a few reports have been published about the complications associated with ALK.1-3 Some of these complications included overcorrection and undercorrection, monocular diplopia, corneal haze, and lenticule displacement. We report our experience of a displaced ALK corneal cap in a patient after corneal debridement for corneal epithelial edema during a scleral buckling procedure (5 months after ALK).

Report of a Case.  A 40-year-old white femalewithhighmyopia(-20+1.50X 90° underwent phacoemulsification for a cataract in the left eye in May 1994. Postoperative refraction was +0.75+ 1.00X90°. Visualacuitywas 20/30 OS. Subsequently, the patient had a sutureless ALK in the left eye for the correction of the aphakic hyperopia in September 1994. The hinged corneal lamellar cap was 350 pm thick and 6.3

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