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    Keratoconus: Thinking outside the cone

    Cases highlight various scenarios ranging from highly complex to simple


    Post-Intacs topography showed a regular bowtie in the center and the unaided visual acuity with the central scar still in place was 20/40-. Laser ASA surgery (in-corneal scar, Corneoplastique principles) was presented as a future option, but the patient opted to use soft contact lenses to achieve 20/25 visual acuity.

    Figure 8

    Arun C. Gulani, MD
    Dr. Gulani is director of refractive surgery and chief, cornea & external disease, as well as assistant professor, department of ...

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