Long-term results of laser in situ keratomileusis for high myopia: risk for ectasia.

Purpose: To ascertain the long-term stability of laser in situ keratomileusis (LASIK) in highly myopic eyes.

Setting: Clinical practice office-based surgery.

Method: Charts of eyes with high myopia who had LASIK surgery by the same surgeon between 1994 and 2000 were reviewed in 2003, and patients were given an appointment for follow-up examinations.

2005 ESCRS Ridley Medal Lecture: will keratectasia be a major complication for LASIK in the long term?

The literature on keratoconus and progressive post-laser in situ keratomileusis ectasia (PPLK) was studied after a retrospective review of 137 highly myopic eyes (mean -15.58 diopters) 5 to 9 years after LASIK. Only 2 eyes developed keratectasia, 1 after automated lamellar keratolasty for myopia and 1 after myopic LASIK.

Twelve-year follow-up of photorefractive keratectomy for low to moderate myopia.

Purpose: To evaluate long-term safety and stability in a group of myopic patients who underwent photorefractive keratectomy (PRK) > or =12 years ago.

Methods: Myopic PRK was performed on 120 eyes of 80 patients using the Summit UV200 excimer laser with a 5-mm ablation zone. Of the original group, most of whom were followed for > or =2 years (mean 2.

Meningococcal septicemia presenting as bilateral endophthalmitis.

We present a patient with bilateral endophthalmitis as the presenting sign of meningococcal septicemia. Systematic examination and vitreous tap conclusively identified the microbe, and appropriate treatment was administered, with good recovery of vision.