PURPOSE: The authors describe a technique of laser in situ keratomileusis (LASIK) for the management of postkeratoplasty ametropia using a femtosecond laser for flap creation. METHODS: The first step was the placement of a disposable suction fixation ring to ensure that it was well-centered on the graft. The applanation cone was applied; the border of the flap was adjusted according to the edge of the graft. The hinge was at the 12 o'clock position; the mean flap diameter was 7.93 mm and the flap depth was 113.33 microm. The flap creation was made with the IntraLase femtosecond laser in a raster pattern. Twenty minutes after the flap creation, it was lifted and the treatment was completed with the Allegretto Wavelight excimer laser. RESULTS: Three patients were treated with this technique and no significant intraoperative or postoperative complications were observed. CONCLUSIONS: IntraLASIK is a promising and accurate procedure for the correction of postkeratoplasty ametropia and astigmatism.
PURPOSE: The authors describe a technique of laser in situ keratomileusis (LASIK) for the management of postkeratoplasty ametropia using a femtosecond laser for flap creation. METHODS: The first step was the placement of a disposable suction fixation ring to ensure that it was well-centered on the graft. The applanation cone was applied; the border of the flap was adjusted according to the edge of the graft. The hinge was at the 12 o'clock position; the mean flap diameter was 7.93 mm and the flap depth was 113.33 microm. The flap creation was made with the IntraLase femtosecond laser in a raster pattern. Twenty minutes after the flap creation, it was lifted and the treatment was completed with the Allegretto Wavelight excimer laser. RESULTS: Three patients were treated with this technique and no significant intraoperative or postoperative complications were observed. CONCLUSIONS: IntraLASIK is a promising and accurate procedure for the correction of postkeratoplasty ametropia and astigmatism.