Femtosecond laser may not be a good option in post-RK eyes

This case report details a 39-year-old male who had LASIK with the Intralase femtosecond laser 14 years after radial keratotomy (RK) for residual myopic astigmatism. During flap lifting, the RK incisions were separated, and one of the RK incisions progressed to the corneal center with the force applied by the blunt spatula. No piece was separated completely from the flap. Excimer laser treatment and flap repositioning could be done without any problems. At the fifth postoperative month, his UCVA was 20/20. All RK incisions seemed well aligned. There was no haze or epithelial ingrowth.