LASIK Case Study – One
Mr SD, a 25 year old male IT engineer, wanted to be spectacle free. He had already been turned down by previous clinics due to his complex prescription but he was very keen to have treatment.
We saw him for a consultation on 27 June 2014 and the results were as follows:
| Unaided | Sph | Cyl | Axis | VA | |
RE | 6/15-2 | +5.00 | -1.75 | 170 | 6/5 |
| LE | 6/20-2 | +5.00 | -1.25 | 167 | 6/6 |
Ocular Examinations:
Right | Left | |
632 | Corneal Pachymetry (µm) | 638 |
6.50 | Colvard Pupil Diameter (mm) | 6.50 |
18 | Goldmann Contact Tonometry (mmHg) | 18 |
46.5 @ 85, 43.8 @ 175 | Orbscan keratometry (D) | 46.4 @ 89, 44.3 @ 179 |
2.73 | Anterior Chamber Depth (mm) | 2.74 |
Normal | Anterior Segment Evaluation | Normal |
Clear | Crystaline Lens | Clear |
| Unremarkable | Opthalmoscopy | Unremarkable |
Our patient had a large exotropia at distance and a large exophoria at near which broke to an exotropia. The patient was advised that any laser eye surgery done would leave his binocular status unchanged.
Dr Pillai decided to treat Mr SD with bilateral wavefront intralase LASIK surgery. He decided to do this as a two stage treatment.
The first stage was carried out on 28 June 2014 and the following refraction was corrected:
Sph | Cyl | Axis | |
RE | +3.75 | -1.75 | 174 |
| LE | +3.75 | -1.25 | 162 |
Surgery was carried out without complication.
1 Day Post-op
Unaided Vision | |
RE | 6/10 |
| LE | 6/12 |
| BE | 6/7.5 |
2.5 Month Post-op
Unaided | Sph | Cyl | Axis | VA | |
RE | 6/5 | +1.25 | -0.50 | 180 | 6/5 |
| LE | 6/6- | +1.25 | -0.75 | 170 | 6/5 |
Stage 2 of the treatment was carried out on 9 October 2014 and the following refraction was corrected:
| Sph | Cyl | Axis | |
RE | +0.75 | -0.50 | 180 |
| LE | +1.00 | -0.75 | 170 |
1 Week Post op
| Unaided Vision | |
RE | 6/5 |
LE | 6/6- |
| BE | 6/5 |
6 Week Post op
Unaided Vision | |
RE | 6/5 |
| LE | 6/6- |
| BE | 6/5 |
Mr SD is delighted with his vision and very happy that he made the decision to seek Advanced Vision Care’s help and Dr Pillai’s expertise.
On reflection other clinics deemed our patient unsuitable due to his high hyperopic prescription. His anterior chamber depth was too shallow for an ICL procedure so Dr Pillai decided to carry out laser surgery but in a two part process. The result was a success and the patient very happy.
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