Autologous astigmatic corneal lenticule rotation with stromal excimer ablation for high hyperopic astigmatism: 2-year follow-up.
Walter Sekundo, Suphi Taneri, Xingtao Zhou et al.
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Case in brief
A 41-year-old female with high hyperopic astigmatism (+3.75/-5.50 D) in her left eye underwent a novel procedure combining femtosecond laser-assisted lenticule rotation and excimer laser ablation. This approach successfully reduced refractive astigmatism by over 5.0 D and corneal astigmatism by 3.7 D. The patient maintained stable visual acuity and reported high satisfaction over a 2-year follow-up, with no significant complications.
Diagnostic / clinical pearl
This case highlights the potential of combining lenticule rotation with excimer laser ablation as a viable treatment for high hyperopic astigmatism, particularly when standard options are inadequate.