Unintended epithelium-only flap creation using a femtosecond laser during LASIK.

Détails

ID Serval
serval:BIB_3D91D69ADA59
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Unintended epithelium-only flap creation using a femtosecond laser during LASIK.
Périodique
Journal of refractive surgery
Auteur⸱e⸱s
Kymionis G.D., Portaliou D.M., Krasia M.S., Karavitaki A.E., Grentzelos M.A., Panagopoulou S.I., Kounis G.A., Pallikaris I.G.
ISSN
1081-597X (Print)
ISSN-L
1081-597X
Statut éditorial
Publié
Date de publication
01/2011
Peer-reviewed
Oui
Volume
27
Numéro
1
Pages
74-76
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
to present a patient in whom, during LASIK with the IntraLase femtosecond laser (Abbott Medical Optics), unintended epithelial (instead of anterior stromal) flaps were created in both eyes.
a 28-year-old man underwent bilateral LASIK using the IntraLase femtosecond laser programmed to create 100-microm flaps. Flap creation was performed uneventfully in both eyes but flap thickness was thinner than attempted. The flaps were easily torn during flap lift because they appeared to consist of epithelium only. Therefore, the procedure was immediately converted to photorefractive keratectomy with the use of mitomycin C.
re-epithelialization occurred 3 days after the procedure in both eyes. Three months after treatment, uncorrected distance visual acuity was 20/25 in the right eye and 20/20 in the left eye with no signs of corneal haze on slit-lamp examination.
despite the advantages of the IntraLase femtosecond laser in the creation of a LASIK flap, complications in terms of flap thickness may occur.
Mots-clé
Adult, Epithelium, Corneal/pathology, Humans, Intraoperative Complications, Keratomileusis, Laser In Situ, Lasers, Excimer, Male, Photorefractive Keratectomy, Surgical Flaps, Visual Acuity/physiology
Pubmed
Web of science
Création de la notice
01/10/2019 15:20
Dernière modification de la notice
06/10/2019 5:26
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