Photorefractive keratectomy for the treatment of myopia after epikeratoplasty: a case report.

An aphakic eye with a +9.00 diopter (D) refraction developed high myopia of -13.00 D after applying epikeratoplasty using a +14.00 D lenticule. We preformed photorefractive keratectomy by excimer laser. The procedure was uneventful, with no postoperative pain. Epithelialization occurred as usual. Recovery of the cornea followed the usual course with initial overcorrection followed by certain regression. After 7 months follow-up the spherical equivalent was -3.25 D and the lenticule was clear. In myopia after epikeratoplasty photorefractive keratectomy is an effective alternative to lenticule exchange.