A 37-year-old woman had bilateral hyperopic laser in situ keratomileusis (L
ASIK). Six months postoperatively, an epithelial pigmentation ring pattern
was identified on both corneas. The appearance of the ring pattern was simi
lar to the iron deposits of the Fleischer ring of keratoconus. While cornea
l iron deposits in various patterns have been reported after other forms of
ocular therapeutic and refractive surgery, this is the first report of the
association between hyperopic LASIK and a corneal iron line, which we have
called the "pseudo-Fleischer ring." J Cataract Refract Surg 1999; 25:868-8
70 (C) 1999 ASCRS and ESCRS.