PHOTOREFRACTIVE KERATECTOMY FOR THE TREATMENT OF MYOPIA AFTER EPIKERATOPLASTY - A CASE-REPORT

An aphakic eye with a +9.00 diopter (D) refraction developed high myop ia of -13.00 D after applying epikeratoplasty using a +14.00 D lenticu le. We preformed photorefractive keratectomy by excimer laser. The pro cedure was uneventful, with no postoperative pain. Epithelialization o ccurred as usual. Recovery of the cornea followed the usual course wit h initial overcorrection followed by certain regression. After 7 month s follow-up the spherical equivalent was -3.25 D and the lenticule was clear. In myopia after epikeratoplasty photorefractive keratectomy is an effective alternative to lenticule exchange.