This is a case of a 37 year old female that seeks iLASIK procedure.
Her manifest refractions were:
OD: -1.00 Sph
OS: -1.25 -1.00 x 152
Ultrasound Pachymetry:
OD: 501 microns
OS: 485 microns
![](//C1-preview.prosites.com/34097/wy/images/Case%206%20refractive/Topo%20OD%206.JPG)
![](//C1-preview.prosites.com/34097/wy/images/Case%206%20refractive/Topo%20OS%206.JPG)
Patient uses glasses only and has not been wearing contact lenses for the past 2+ years. As one can see, despite the "normal" read by the PathFinder Corneal Analysis, there is a concerning inferior steepening pattern to the corneal topography. I performed a Visante omni evaluation. One can see the standard print out Holladay Report below.
![](//C1-preview.prosites.com/34097/wy/images/Case%206%20refractive/Holladay%20Report%20OS%206.jpg)
There is significant anterior protrusion of the posterior corneal surface and the suspicion of the keratoconus is confirmed. I was able to present these images and analysis to the patient and confidently explain her condition to her and why she is not a LASIK candidate.
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