Bilateral ectasia after femtosecond laser–assisted small-incision lenticule extraction

This case report describes clinical and topographic features of bilateral corneal ectasia after femtosecond laser–assisted small-incision lenticule extraction. The case suggests that patients with preoperative forme fruste keratoconus or early keratoconus might develop significant progression of corneal ectasia after the small-incision lenticule extraction procedure and shows that the procedure can affect the corneal biomechanics.Financial DisclosureThe author has no financial or proprietary interest in any material or method mentioned.