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
Shakin EP, Fastenberg DM, Udell IJ, Shakin JL, Schwartz PL, Golub BM. Late Dislocation of a Corneal Cap After Automated Lamellar Keratoplasty and Epithelial Debridement for Retinal Surgery. Arch Ophthalmol. 1996;114(11):1420. doi:10.1001/archopht.1996.01100140620020