Excimer laser photorefractive keratectomy in myopic eyes with corectopia

Corectopia, the eccentric displacement of the pupil, may be associated with other abnormalities such as axial high myopia or ectopia lentis. We report the case of a patient presenting for surgery to correct bilateral myopia o f 6.50 diopters (D) associated with corectopia. Excimer laser ablation was decentered and performed on the center of the abnormal pupils. After a 2 ye ar follow-up, best corrected visual acuity was 20/20 with 1.00 D correction in each eye. To our knowledge, this is the first report of excimer laser p hotorefractive keratectomy for myopia associated with corectopia. The satis factory results suggest that in abnormally that in abnormally eccentric pup ils, excimer laser treatment of myopia may be successful when it is centere d on the deviated pupil. (C) 1999 ASCRS and ESCRS.