Traumatic flap dislocation 10 years after LASIK. Case report and literature review

Khoueir, Ziad; Haddad, Nagib; Saad, Alain; Chelala, Elias; Warrak, Elias L.

doi:10.1016/j.jfo.2012.03.004

Cited by 16 publications

(10 citation statements)

References 23 publications

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“…However, complications after surgery can include dry eyes [ 4 ], corneal haziness [ 5 ], ectasia [ 6 ], and traumatically loosened flaps [ 7 ]; SMILE is expected to remedy these shortcomings. Studies have shown that compared with LASIK, SMILE minimizes dry eye, while maintaining higher corneal sensitivity [ 8 , 9 ] and cornea tensile strength [ 10 , 11 ] after surgery.…”

Section: Introductionmentioning

confidence: 99%

One-year outcomes of small-incision lenticule extraction (SMILE): mild to moderate myopia vs. high myopia

Kim

Mun

et al. 2015

BMC Ophthalmol

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BackgroundThe purpose of this study was to compare the refractive outcomes of small incision lenticule extraction (SMILE) in high-myopic patients with those of mild- to moderate-myopic patients.MethodsThis study included 183 eyes of 92 myopic patients treated with SMILE using a VisuMax 500-kHz femtosecond laser. Treated eyes were divided into two groups, according to the preoperative spherical equivalent (SE): mild to moderate myopia (A group, <−6.0 D) and high myopia (B group, ≥ − 6.0 D). Follow-up visits were at 1 day, 1 week, and 1, 3, 6, and 12 months. The outcome measures included uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (BDVA), postoperative SE, efficacy index, safety index, and predictability.ResultsPreoperative SE was −5.05 ± 0.71 D in the A group and −7.67 ± 1.01 D in the B group. No differences were observed between −0.13 ± 0.38 D in the A group and −0.24 ± 0.35 D in the B group 12 months postoperatively (p = 0.18). At 12 months postoperatively, 93.1 % and 76.8 % had an UDVA of 20/20 or better in the A and B groups, respectively. In the A group, 87.9 % and 96.6 % were within ±0.5 D and ±1.0 D, respectively, of the intended correction; in the B group, 88.0 % and 97.6 % were within ±0.5 D and ±1.0 D, respectively. The efficacy index was 1.04 ± 0.19 in the A group and 0.99 ± 0.19 in the B group. The safety index was 1.27 ± 0.17 for the A group and 1.24 ± 0.17 for the B group. The efficacy and safety index were not significantly different between the two groups 12 months postoperatively (p = 0.141 and p = 0.307, respectively).ConclusionsThis study showed that SMILE is effective and safe for correcting high myopia, as well as mild to moderate myopia.

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Section: Introductionmentioning

confidence: 99%

One-year outcomes of small-incision lenticule extraction (SMILE): mild to moderate myopia vs. high myopia

Kim

Mun

et al. 2015

BMC Ophthalmol

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“…The procedure enables faster visual rehabilitation so patients can quickly return to normal activities [ 1 , 2 ]. However, this procedure has side effects including dry eye [ 3 ], ectasia [ 4 ], and traumatically loosened flaps [ 5 ]. Recently, small incision lenticule extraction (SMILE) has been proposed as an alternative to LASIK that could avoid these potential side effects [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy, predictability, and safety of small incision lenticule extraction: 6-months prospective cohort study

et al. 2014

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BackgroundTo report our experience with small incision lenticule extraction ("SMILE") for myopia treatment.MethodsIn this prospective clinical study, we evaluated 447 eyes from 224 patients with myopia, with and without astigmatism. We followed the patients for 6 months after SMILE.ResultsThe mean (±standard deviation, SD) spherical equivalent was -6.75 ± 1.65 diopters (D) preoperatively and -0.21 ± 0.37 D at 6 months postoperatively. Our data showed that 97.9% of eyes were within ±1.0 D and 86.1% were within ±0.5 D of the intended correction. Furthermore, 79.8% had an uncorrected distance visual acuity (UDVA) of 0 logMAR or less (20/20 or better in the Snellen equivalent) 6 months after surgery. Additionally, 48.5% remained unchanged, 41% gained one line of corrected distance visual acuity (CDVA), 7.2% gained two lines of CDVA, 3.3% lost one line of CDVA, and 0.3% lost two or more lines of CDVA. Age was the only predictor for worsening UDVA at 6 months postoperatively in linear regression analyses (0.07 decrease logMAR per increased 10 years of age; P < 0.05). No predictor showed an association with error in spherical equivalent refraction at 6 months postoperatively.ConclusionsSMILE is an effective and safe refractive surgery. Age was the only predictor that influenced visual outcome, but its effect appeared clinically insignificant. Faster visual recovery is also expected with improved surgical technique.

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“…The LASIK technique has gradually surpassed corneal surface ablation to become the world’s most popular refractive surgery ( 1 ). Nevertheless, a return toward corneal surface ablation has occurred due to better corneal stability ( 2 , 3 ) and no corneal flap complications when compared with LASIK ( 4 – 7 ). For patients with epithelial basement membrane diseases; thin, flat or steep corneas; and professional athletes who incur risks for physical contact, corneal surface ablation is preferred for correcting refractive errors ( 8 ).…”

mentioning

confidence: 99%

Application of a Cold Patch for Relieving Pain after Transepithelial Photorefractive Keratectomy

Zeng

Gao

2015

Pain Research and Management

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Traumatic flap dislocation 10 years after LASIK. Case report and literature review

Cited by 16 publications

References 23 publications

One-year outcomes of small-incision lenticule extraction (SMILE): mild to moderate myopia vs. high myopia

One-year outcomes of small-incision lenticule extraction (SMILE): mild to moderate myopia vs. high myopia

Efficacy, predictability, and safety of small incision lenticule extraction: 6-months prospective cohort study

Application of a Cold Patch for Relieving Pain after Transepithelial Photorefractive Keratectomy

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