Baptista PM, Marta AA, Marques JH, et al. - Researchers conducted this observational cross-sectional study to characterize the tomographic and corneal biomechanical status of a sample of eyes excluded from laser vision correction (LVC) and to present the differences in biomechanical behavior in relation to cutoffs of clinical- and tomography-based screening methods used in clinical practice. The sample consisted of 32 consecutive patients (61 eyes) who were excluded from LVC in the department. Clinical and demographic data were obtained from the patients’ clinical records. In the present study, the majority of eyes excluded from LVC met the criteria for ectasia susceptibility in several biomechanical parameters, validating the clinical and tomographic based screening prior to LVC in the center. The differences found in the biomechanical assessment of the cutoffs used in clinical practice highlight the differential role that these patients play in characterizing their risk profile. Tomography should not be overlooked, and the integration of all data, including parameters related to treatment, may be the future of screening for risk of ectasia prior to LVC.