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    Thinking outside the cone: Over, above standard approach

    Scenarios of keratoconus, management highlight ways to devise treatment ‘recipes’










    Figures 8 to 10

    The patient presented after having undergone Intacs placement to treat keratoconus followed by crosslinking, but the vision remained extremely poor. Considering that the patient had already undergone these procedures, my principle is always to respect the work of the previous surgeon, and therefore, I opted to perform laser ASA surgery following a refractive evaluation in order to achieve emmetropia. Figure 10 summarizes the treatment that resulted in a happy patient with 20/20 vision.

    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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