Abstract

Highly irregular corneas pose a particular challenge to even the most experienced LASIK and PRK surgeon. This irregularity is typically encountered when treating eyes with previous corneal refractive and laser surgery and visually problematic outcomes. This paper discusses techniques for optimizing surgical outcomes in this challenging setting. The role of high resolution Fourier Wavefront analysis is discussed. The critical role of iris registration and alignment technology for these types of cases is also reviewed. A surgical strategy for approaching these types of corneas is outlined. This paper is intended for experienced LASIK and PRK surgeons who wish to optimize their technique.

Publication

Shapiro DR: Can CustomVue Cope with Highly Aberrated Eyes? Review of Ophthalmology, March 2005, p. 12-13.