Fig. 01 A 47-year-old female was referred after corneal inserts placed by her surgeon to address keratoconus in the right eye extruded into the anterior chamber. The surgeon extracted the corneal inserts, which caused a scar.

Fig. 02 The outcome of the laser procedure is unaided 20/20 vision despite lack of change in astigmatism on topography.

Fig. 03 Postoperative ETM shows epithelium remodelling to fill in not only the refractively induced corneal curvature but also the area of the scar and the uneven stromal thickness that is the hallmark of the keratoconus itself. (Images courtesy of Dr Arun C. Gulani)

Fig. 04 Postoperative ETM shows epithelium remodelling to fill in not only the refractively induced corneal curvature but also the area of the scar and the uneven stromal thickness that is the hallmark of the keratoconus itself. (Images courtesy of Dr Arun C. Gulani)

Fig. 05 Postoperative ETM shows epithelium remodelling to fill in not only the refractively induced corneal curvature but also the area of the scar and the uneven stromal thickness that is the hallmark of the keratoconus itself. (Images courtesy of Dr Arun C. Gulani)

Fig. 06 Postoperative ETM shows epithelium remodelling to fill in not only the refractively induced corneal curvature but also the area of the scar and the uneven stromal thickness that is the hallmark of the keratoconus itself. (Images courtesy of Dr Arun C. Gulani)