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Abstract Corneal refractive surgery is the most performed ophthalmic procedure in the world. Despite the huge leaps in advancing this technology to reduce the risks of intraoperative and postoperative complications, there is still a very small risk to develop sight threatening complication such as cornea ectasia. Corneas at risk of ectasia are usually thinner with abnormal topographies, but some normal thin corneal with normal topographies have developed ectasia, a distinction sometimes hard to make between myopia with such corneas and subclinical cases of keratoconus or forme frust keratoconus. The values of corneal hysteresis and corneal resistance factor with the study of the waveform generated by the Ocular Response Analyzer, is a new tool that could help detect corneas with a suspicious weak structure, such as keratoconus, forme frust keratoconus and corneas undergone refractive surgery. This biomechanical study should not be used as the sole test to detect the suitability of the eyes for refractive surgery but as an adjunct to the clinical and topographical test. This is a small prospective clinical interventional series study carried out from March 2014 to March 2015 on 39 eyes of 22 patients. |