{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:44:51Z","timestamp":1760060691914,"version":"build-2065373602"},"reference-count":36,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: The aim of this study was to assess a corneal remodeling technique using laser asymmetric keratectomy (C-LAK) treatment, and its outcome for keratoconus suspect (KCS) by evaluating corneal regularity. Methods: In this retrospective case\u2013control study, 34 eyes of 20 patients with KCS were studied before and 1 year after L-LAK. This new technique could ablate the original refractive errors, the thicker peripheral cornea, and myopia induced by LAK simultaneously (crescentic customized ablation). Before and 1 year after the operation, the refraction, UDVA, keratometry, and corneal symmetry evaluated as the total corneal central-thickness deviation (SUM) and the distance between the maximum posterior elevation (best-fit-sphere [BFS]) and the visual axis (DISTANCE) were compared. Results: Twenty patients with KCS aged 41.0 \u00b1 13.5 years were evaluated. Preoperatively, the spherical equivalent (SE, D) \u22122.57 \u00b1 1.64 and the Kmax was +48.21 \u00b1 0.89 D. At 1 year postoperation, 79.4% (27\/34) of the eyes had a UDVA of 20\/20 or better. The SE and Kmax (D) were \u22120.40 \u00b1 0.43, 44.47 \u00b1 1.38 (Ps = 0.001, respectively), the corneal symmetry was better due to the decrease in the SUM (\u00b5m) (from 141.88 \u00b1 48.24 to 66.21 \u00b1 15.22) and DISTANCE (mm) (from 1.11 \u00b1 1.14 to 0.46 \u00b1 0.40). No postoperative corneal ectasia appeared. Conclusions: L-LAK made the corneas symmetric by decreasing the SUM and DISTANCE, decreased focal steepening, and showed good 1-year postoperative outcomes.<\/jats:p>","DOI":"10.3390\/jcm14186568","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T12:24:25Z","timestamp":1758198265000},"page":"6568","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Corneal Remodeling Using Laser Asymmetric Keratectomy in Patients with Keratoconus Suspect"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1134-8945","authenticated-orcid":false,"given":"Byung Moo","family":"Min","sequence":"first","affiliation":[{"name":"Woori Eye Clinic, Department of Ophthalmology, Yonsei University College of Medicine, Daeduk Daero 219, Dunsan-dong, Seo-gu, Daejon 35229, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hee Jong","family":"Cheon","sequence":"additional","affiliation":[{"name":"GJ St. Mary Eye Clinic, Wongjin-Ro 223, Gongju 32539, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1136\/bjo.2008.147371","article-title":"Chasing the suspect: Keratoconus","volume":"93","author":"Klyce","year":"2009","journal-title":"Br. 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