Consultation section: refractive surgical problem

A 39-year-old man had bilateral LASIK 3 years previously. The patient states that during surgery, an epithelial defect occurred in both eyes that took almost 2 weeks to heal completely. The patient was treated with steroids, antibiotic eyedrops, and artificial tears. A 7.5 mm diameter scar in the anterior third of the stroma remained. Six months later, he was placed on low-dose steroids, after which he was fitted with an RGP contact lens in both eyes. Current slitlamp examination shows corneal scars extending throughout the resected flap in both eyes. The patient has difficulties tolerating RGP lenses in both eyes and severe symptoms of photophobia, star burst, night blindness, and difficulty in reading.