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A patient was treated bilaterally for myopia using laser in situ keratomileusis (LASIK). There was no evident tomographic risk factor for ectasia, but a slight asymmetry on the Placido topography in the left eye. Seven years postoperatively, a unilateral ectasia was diagnosed. Retrospectively, the calculated Score for the left eye was +0.2. This case suggests that an artificial intelligence system based on the combination of Placido and tomographic indices may be helpful for the detection of ectasia susceptible eyes.

Retrospective Testing of the Score for the Detection of Ectasia Susceptibility: A Case Report of Ectasia 7 Years after LASIK