Keratoconus is generally held to be an absolute contraindication for photorefractive keratectomy (PRK). Corneas with inferior steepening on corneal topography are widely thought to have subclinical keratoconus. We were not convinced that this is always the case, as there seems to be a group of patients with a stable inferior steepening pattern on topography who show no other characteristics of clinical keratoconus. We thus decided to offer PRK to some of these patients under strictly defined criteria.
- Corneal Diseases
- Diagnosis, Differential
- Image Interpretation, Computer-Assisted
- Lasers, Excimer
- Photorefractive Keratectomy