Incidence, Indications, and Outcomes of Eyes Needing Early Flap Lifting After LASIK

Vainer, Igor; Assad, Negme; Nemet, Achia; Sela, Tzahi; Munzer, Gur; Kaiserman, Igor

doi:10.1097/ico.0000000000001617

Cited by 15 publications

(14 citation statements)

References 33 publications

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“…Flap dislocation after LASIK typically occurs in the early postoperative period and mostly due to eye-rubbing 1 . Flap dislocations more than 1 year after LASIK are exceptional 2 .…”

Section: Discussionmentioning

confidence: 99%

Traumatic flap dislocation by paper air plane 10 years after LASIK

Taneri

Rost

Kießler

et al. 2019

American Journal of Ophthalmology Case Reports

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“…Flap dislocation after LASIK typically occurs in the early postoperative period and mostly due to eye-rubbing 1 . Flap dislocations more than 1 year after LASIK are exceptional 2 .…”

Section: Discussionmentioning

confidence: 99%

Traumatic flap dislocation by paper air plane 10 years after LASIK

Taneri

Rost

Kießler

et al. 2019

American Journal of Ophthalmology Case Reports

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“…A variable incidence of interface debris has been reported (0.06% to 100%). [ 38 39 ] [ Fig. 5 ] It is identified postoperatively on slit-lamp examination and should be carefully differentiated from an inflammatory and infectious reaction.…”

Section: Intraoperative Complicationsmentioning

confidence: 99%

“…However, if it involves the central visual axis or is suspected of causing inflammation, it is managed with flap lift and irrigation of interface. [ 39 ] Diffuse lamellar keratitis (DLK) and irregular astigmatism are its reported complication. [ 40 ]…”

Section: Intraoperative Complicationsmentioning

confidence: 99%

Complications of laser-assisted in situ keratomileusis

Sahay

Bafna

Reddy

et al. 2021

Indian Journal of Ophthalmology

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Laser-assisted in situ keratomileusis (LASIK) is one of the most commonly performed kerato-refractive surgery globally. Since its introduction in 1990, there has been a constant evolution in its technology to improve the visual outcome. The safety, efficacy, and predictability of LASIK are well known, but complications with this procedure, although rare, are not unknown. Literature review suggests that intraoperative complications include suction loss, free cap, flap tear, buttonhole flap, decentered ablation, central island, interface debris, femtosecond laser-related complications, and others. The postoperative complications include flap striae, flap dislocation, residual refractive error, diffuse lamellar keratitis, microbial keratitis, epithelial ingrowth, refractive regression, corneal ectasia, and others. This review aims to provide a comprehensive knowledge of risk factors, clinical features, and management protocol of all the reported complications of LASIK. This knowledge will help in prevention as well as early identification and timely intervention with the appropriate strategy for achieving optimal visual outcome even in the face of complications.

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“…Bu mekanik ve temizleyici işlem inflamasyonun ara yüzeyden süpürülüp yıkanması gibi bir temizleyici etkiye sahiptir. 29 Kalıcı korneal hasar ve stromal erime oluşmadan yapılması gereken bu tedavi girişimleri evre 4 den sonra pek işe yaramaz. Bu evreden sonra oluşmuş olan santral lökom PTK (fotorefraktif keratektomi) ya da daha ileri ve derin kornea nekrozu gelişmiş olgularda keratoplasti ile tedavi edilir.…”

Section: Görülme Sıklığı Ve Nedenleriunclassified

Diffuse lamella keratitis: diagnosis and treatment methods

Karaarslan¹

2019

Mersin Üniversitesi Sağlık Bilimleri Dergisi

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ÖzRefraktif cerrahi sonrası gelişen diffüz lameller keratit, çoğunlukla unilateral (tek gözde), görme ekseninden uzak, periferal yerleşimli küçük gri-beyaz korneal noktacıklar şeklinde ortaya çıkan bir komplikasyon tablosudur. Başlangıç evrelerde farkına varılmaz ve uygun tedavi ile önlem alınmazsa, ileride ciddi görme kaybına neden olabilmektedir. Özellikle aktif ve genç nüfusun, gözlük ve lens bağımlılığından kurtulmak için tercih ettiği refraktif cerrahi gün geçtikçe daha yoğun bir şekilde uygulanmaktadır. Bu yazıda; ilerleyici ve geri dönüşümsüz kornea ve görme hasarına neden olabilecek, diffüz lameller keratitin, erken tanısı ve tedavisi ile ileride gelişebilecek kalıcı görme kaybının önlenmesi için güncel yaklaşımların ortaya konulması amaçlanmıştır.Anahtar sözcükler : Refraktif cerrahi, diffüz lameller kerattit, korneanın kalıcı nekrozu Diffuse lamella keratitis: diagnosis and treatment methods AbstractDeveloping after refractive surgery, Diffuse Lamellar Keratitis is a complication that appears as small gray-white corneal spots in the periphery. It is mostly unilateral (one-eye) and distant to the visual axis. If it goes unnoticed at initial stages, and if appropriate treatment is not applied, it may cause severe visual impairment. Refractive surgery is especially preferred by active and young population to be released of glasses and lens dependence, and is becoming widely applied with each passing day. In this paper, the purpose is to determine the early diagnosis and treatment modalities for Diffuse Lamellar Keratitis, and to examine current approaches for the prevention of permanent visual impairment, which may lead to progressive and irreversible corneal and visual damage.

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Incidence, Indications, and Outcomes of Eyes Needing Early Flap Lifting After LASIK

Abstract: The main indication for early flap relifting after LASIK was striae, and most cases achieved full resolution. Although refractive and visual outcomes are lower in this group, they are, nevertheless, satisfactory.

Cited by 15 publications

References 33 publications

Traumatic flap dislocation by paper air plane 10 years after LASIK

Traumatic flap dislocation by paper air plane 10 years after LASIK

Complications of laser-assisted in situ keratomileusis

Diffuse lamella keratitis: diagnosis and treatment methods

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