Abstract

PURPOSE-To show that Lenticule extraction is a viable alternative with no side effects in a case of Myopia with Primary Megalocornea .
METHODS-A 31-years-old male ,6/6 with -2.50 D Sph RE and 6/6 in his left eye with-1.75 D sph/ -2.25 D cyl x 155 with bilateral megalocornea (wtw distance 14.8 mm), with a clear cornea and a pachymetry of 413 and 401 microns in the right and left eye, respectively presented for possible refractive surgery.TheVisuMax500kHz femtosecond laser system (Carl Zeiss Meditec, Jena, Germany) was used. The SMILE procedure was performed ,first the femtosecond laser created the lenticule which was then extracted by the chief author
RESULTS -The patient was 6/6 two days post procedure with no pain .At three years follow up the cornea and refraction are stable .
CONCLUSION-SMILE is a viable solution to myopia in primary megalocornea