Cross-linking post-LASIK ectasia

Post-LASIK ectasia, along with keratoconus and PMD, belongs to the family of corneal ectasias, and it’s easiest to view post-LASIK ectasia as a keratoconus that develops after laser eye surgery.

In laser refractive surgery, corneal tissue is removed with a laser to correct the refractive error or astigmatism. A normal cornea tolerates this easily. However, if too much tissue is removed, or if the cornea is endangered by other causes (hormones, pre-existing or undetected disease), then ectasia following LASIK, PRK and SMILE can still occur years after surgery. This ectasia is very similar to keratoconus and even has the same symptoms.

We were the first to show in 2012 that this ectasia can even occur 9 years after LASIK. It is all the more important that the surgeon has a great deal of experience in detecting such risk factors before surgery.

Until 2007, the only option for treating ectasia after LASIK and PRK was corneal transplantation (keratoplasty). This operation is serious (it requires general anaesthesia) and carries the risk of rejection.

However, in 2007, the world saw the very first patients with post-LASIK ectasia successfully treated with CXL. Since then, CXL has become the global gold standard for the treatment of this disorder.

2007: World’s first successful treatment of ectasia after LASIK
2012: Our successful long-term results

When to treat?

In contrast to keratoconus (which progresses and then can be quiescent), ectasia progresses after LASIK. It should be treated as soon as the diagnosis has been made.

In 2014, the readers of “The Ophthalmologist” voted for the PowerList, the 100 most influential personalities in global ophthalmology. ELZA member Farhad Hafezi is one of them.

The ELZA Institute

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Augeninstitut ELZA
4.7
Based on 80 reviews
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Thomas S.
Thomas S.
09:37 07 Jul 21
My left eye had to be operated on because of a cataract. As I had an Artiflex lens implanted a few years ago, it had to... be removed first before a modern lens could be implanted to correct the cataract. Prof. Hafezi treated me in an very competent and friendly manner. I am very happy with the result.read more
Selma A. Rahim
Selma A. Rahim
19:45 02 Jul 21
Dr. Hafezi.. the KING OF CXL🤴
Gianluca Ricci
Gianluca Ricci
12:46 10 Apr 21
Great team and service!
rehaneyecare
rehaneyecare
05:36 08 Apr 21
Excellent surgeon
Steven H.A
Steven H.A
16:13 11 Jan 21
Prof. F. Hafezi s expertise is enormous and he has a very pleasant and calm nature which gives the patient... security.Thank youread more
Online Commande
Online Commande
09:19 05 Dec 20
Totally creepy, very arrogant Prof.He just want your money.It may explain, why this Prof. is not in the center of the... city of Zürich and why he has been thrown away from University of Geneva.read more
Elena Churilova
Elena Churilova
10:06 17 Nov 20
At the moment, 3 months have passed since the moment I made laser vision correction in this clinic. and I can say that... I am happy that I chose this particular clinic and Prof. F. Hafezi. The entire staff of the clinic is very friendly, treats patients with sympathy and patience if they are nervous before surgery (my big gratitude to Aida Alili for all support and patience). The doctor Hafezi and other doctors of the clinic are very professional and ready to explain to you as many times as you need. I can only recommend!read more
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Augeninstitut ELZA
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Based on 80 reviews
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