Trapezoidal keratotomy: a contact lens case

Incisional refractive surgery for the correction of astigmatism, introduced by Ruiz in the 1980s, was a milestone for the now more sophisticated refractive surgery procedures. Patients who underwent this pioneering technique often suffered from numerous complications, eventually resulting in the need for vision correction with either further surgery or rigid contact lenses. A contact lens case report of one patient, whose procedure resulted in highly irregular and astigmatic corneas, is presented along with an overview of the original Ruiz astigmatic keratotomy technique. This case—as most post-surgical contact lens fitting cases are—was challenging, but resulted in remarkable improvement in the vision quality and lens comfort of the patient.