Facharzt FMH Ophthalmologie Practice Questions - Facharzt FMH Für Ophthalmologie Spécialiste FMH En Ophtalmologie Specialista FMH In Oftalmologia Exam

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A 24-year-old patient seeking laser refractive surgery undergoes Scheimpflug corneal tomography (Pentacam). The Belin-Ambrósio Enhanced Ectasia Display shows a final total deviation index (BAD-D value) of 2.15, posterior elevation of +17 µm relative to the best-fit sphere, and thinnest pachymetry of 482 µm. What is the most appropriate clinical interpretation and recommendation?

Subclinical/forme fruste keratoconus; excimer laser ablation (LASIK/PRK) is contraindicated. Normal physiological variant; femtosecond LASIK can be safely performed with a 100 µm flap. Mild regular astigmatism; small incision lenticule extraction (SMILE) is preferred to preserve biomechanics. Post-refractive corneal ectasia; patient requires immediate intraocular lens exchange.

Correct Answer:

Subclinical/forme fruste keratoconus; excimer laser ablation (LASIK/PRK) is contraindicated.

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