Coaxially Sighted Corneal Light Reflex Versus Entrance Pupil Center Centration of Moderate to High Hyperopic Corneal Ablations in Eyes With Small and Large Angle Kappa

Refractive outcomes of high hyperopic LASIK were not found to be worse for eyes where ablation was centered more than 0.55 mm from the entrance pupil as determined by CSCLR in eyes with large angle kappa. The absence of poor quality visual outcomes in cases, which by entrance pupil centration are considered significantly "decentered," supports the notion that centration relative to the CSCLR may be preferable. This provides evidence that refractive corneal ablation should not be systematically aligned with the entrance pupil center.