• Hyperopia and MDFdystrophy treated with PTK PRK, Kanellopoulos, MD Description: A 42-year-old male with significant hyperopia of over 5 dpt -and surprisingly who never has worn spectacles or contact lenses-presents with desire to undergo laser vision correction! Careful evaluation reveals significant coinciding epithelial basement membrane dystrophy ( Cohan’s Cysts, or Map-dot-fingerprint cornea dystrophy- identified mainly by anterior segment OCT-derived epithelial maps ( Optovue Avanti) Our treatment plan shifts from traditionally using topo-guided LASIK to include an option for the MDFd problem as well, and the patient undergoes a triple procedure: 1-superficial epithelial blunt keratectomy the ORCA EBK device followed by 2-10 µm PTK at 8 mm diameter and last 3-the hyperopic PRK correction with Alcon‘s EX500 Wavelight excimer laser treated on the cornea vertex-that by the way demonstrated significant angle kapa-All diagnostic cornea data and key steps of the surgical treatment are illustrated herein Subspecialty: Refractive Management / Intervention Level: Advanced Uploaded By: A. Kanellopoulos