Expectatives Vorgehen bei epithelialer Einsprossung nach LASIK in zwei ungleichen Fällen

Graeff, E; Goldblum, David

doi:10.1055/s-0031-1299267

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Late traumatic LASIK flaps are often challenging cases even among experienced surgeons both because the trauma potentially alters the flap or corneal integrity, making the technical aspects of the revision more difficult, and because of the higher risk for complications such as optical abnormalities, haze, perforations, infections, and epithelial ingrowth recurrence. 12,13…”

Section: Discussionmentioning

confidence: 99%

Surgical management of a calzone-like posttraumatic infolding of a 10-year-old LASIK flap

Elahi

Mazharian

Gatinel

2022

JCRS Online Case Rep

View full text Add to dashboard Cite

Introduction:The popularity of femtosecond laser–assisted in situ keratomileusis (LASIK) has increased, but flap-related complications such as trauma and possibility of displacement, even years after surgery with complications such as striae, diffuse lamellar keratitis, and epithelial ingrowth, may still be challenging.Patient and Clinical Findings:A 45-year-old woman was referred a week after trauma and flap displacement on a 10-year-long myopic LASIK correction. Corrected distance visual acuity was 20/30 (0, −2.25 at 35 degrees) due to epithelial ingrowth involving the visual axis. The external third of the flap was rolled inward (calzone-like), exposing the underlying edematous stroma associated with dense fibrosis at the level of the roll.Diagnosis, Intervention and Outcomes:Emergency flap surgical revision was performed using a technique of mechanical debridement and a 20% alcohol-dipped sponge application to help with epithelial cells lysis, and fibrin glue was applied on the flap. Uncorrected distance visual acuity was restored and examination revealed a stable, well-apposed flap, without epithelial cell ingrowth, and an otherwise unremarkable examination.Conclusions:This study showed the 10-month-efficacy of a combined approach of mechanical debridement, ethanol-based cell lysis, and fibrin glue in traumatic 10-year-old-flap management with infolding or invagination and extensive epithelial ingrowth.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical management of a calzone-like posttraumatic infolding of a 10-year-old LASIK flap

Elahi

Mazharian

Gatinel

2022

JCRS Online Case Rep

View full text Add to dashboard Cite

show abstract

“…Traumatic flap dislocation is a feared complication, which can occur early, within the first week, or as a late complication up to 14 years after an initially uneventful LASIK procedure [3, 4, 5, 6]. Consequences are corneal irregularities, epithelial ingrowth, haze formation, or flap shrinkage [5, 7], which may be associated with decreased visual acuity, glare, and varying levels of discomfort.…”

Section: Introductionmentioning

confidence: 99%

Calzone-Like Traumatic Flap Dislocation Four Years after Laser in situ Keratomileusis

Fischinger¹,

Wendelstein

Bolz

et al. 2019

Case Rep Ophthalmol

View full text Add to dashboard Cite

A 46-year-old patient presented with a flip-folded partially dislocated flap after trauma caused by a sheet of paper, four years after a reportedly uneventful laser in situ keratomileusis procedure using microkeratome. Flap re-lift, mechanical debridement, and flap stretching were performed in a first interventional approach. Due to epithelial ingrowth two month after the first intervention, a flap re-lift and mechanical removal of epithelial cells from the stroma bed and flap were performed. In addition, triamcinolone was applied subconjunctivally. Thereafter, best corrected visual acuity of 20/20 was regained and no more epithelial ingrowth was observed. Only few cases of flap dislocation with epithelial ingrowth have been described in the literature following trauma, though none of a permanently inward folded flap. The use of subconjunctival triamcinolone is a new approach to prevent recurrent epithelial ingrowth.

show abstract

Expectatives Vorgehen bei epithelialer Einsprossung nach LASIK in zwei ungleichen Fällen

Cited by 2 publications

References 0 publications

Surgical management of a calzone-like posttraumatic infolding of a 10-year-old LASIK flap

Surgical management of a calzone-like posttraumatic infolding of a 10-year-old LASIK flap

Calzone-Like Traumatic Flap Dislocation Four Years after Laser in situ Keratomileusis

Contact Info

Product

Resources

About