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

Details

Serval ID
serval:BIB_3D91D69ADA59
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Unintended epithelium-only flap creation using a femtosecond laser during LASIK.
Journal
Journal of refractive surgery
Author(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
Publication state
Published
Issued date
01/2011
Peer-reviewed
Oui
Volume
27
Number
1
Pages
74-76
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
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.
Keywords
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
Create date
01/10/2019 15:20
Last modification date
06/10/2019 5:26
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