Ophthalmology · Refractive Surgery and Contact Lenses (LASIK, SMILE, PRK, Keratoconus Management)

The minimum recommended residual stromal bed (RSB) thickness after LASIK to avoid post-LASIK ectasia is:

  • A 200 microns
  • B 300 microns
  • C 350 microns
  • D 250 microns
Correct answer: D. 250 microns

Explanation

A residual stromal bed (RSB) of at least 250 microns is the widely accepted minimum threshold to prevent post-LASIK ectasia. Some authorities recommend 300 µm for added safety. When RSB is projected to be < 250 µm, alternative procedures (SMILE, surface ablation/PRK, or phakic IOL implantation) should be considered. The total corneal thickness must also be ≥ 480–500 µm preoperatively for safe LASIK.

Reference: Khurana Comprehensive Ophthalmology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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