![]() Three years after the surgery, she noticed a drop in the quality of her vision along with ghosting of images in BEs. The patient underwent LASIK to correct the refractive error following which she was asymptomatic with a CDVA of 20/20 in BEs. Ocular examination and aberrometry had been unremarkable in BEs. Three years ago, the patient had a refraction of − 2.00 D/−2.25 D × 35° in the right eye (RE) and − 2.25 D/−2.25 D × 160° in the LE with a corrected distance visual acuity (CDVA) of 20/20 in both eyes (BEs). This could result in patients undergoing re-correction in eyes where the primary pathology is in the lens.Ī 36-year-old female was referred to us for refractive error corrective surgery of the left eye (LE) for a possible regression following LASIK. This report shows how preclinical cataract can mimic post-LASIK regression with a change in spherical and cylindrical power of the eye. ![]() Increase in aberrations and lenticular density may serve as a marker for cataract development before clinically detectable lenticular changes. A year later, the patient had developed lenticular changes along with a further increase in aberrations and worsening of scatter on densitometry. Since there were no cataractous changes, the patient was advised regular follow-up. ![]() Although the lens was morphologically normal on slit lamp examination, increased HOAs and lenticular density were detected. Corneal topography and aberrometry were within normal limits. A 36-year-old female presented with blurring of vision since 1 year after having undergone an uneventful LASIK surgery 3 years prior. The purpose of this case report is to bring forth a rare clinical scenario where preclinical cataract mimics post-LASIK regression and to describe the role of aberrometry in detecting higher order aberrations (HOAs) and early lens changes. ![]()
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