Laser flap enhancement 5 to 9 years and 10 or more years after laser in situ keratomileusis: Safety and efficacy

Barrio, Jorge L. Alió del; Hanna, Rana; Cantó-Cerdán, Mario; Vega-Estrada, Alfredo; Alió, Jorge L.

doi:10.1016/j.jcrs.2019.05.030

Cited by 6 publications

(14 citation statements)

References 10 publications

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“…23 However, studies have reported successful flap relifting a long time after primary LASIK. 6,12 The 2 cases with the longest reported times to relift were 18.7 years and 20 years. 6,12 Our results are in line with these studies and provide convincing evidence that our technique is safe and Excluding cases with primary LASIK performed elsewhere effective for LASIK enhancement, even when performed up to 22 years after primary LASIK.…”

Section: Discussionmentioning

confidence: 99%

“…6,12 The 2 cases with the longest reported times to relift were 18.7 years and 20 years. 6,12 Our results are in line with these studies and provide convincing evidence that our technique is safe and Excluding cases with primary LASIK performed elsewhere effective for LASIK enhancement, even when performed up to 22 years after primary LASIK. The time between relift and primary LASIK was at least 10 years in approximately one half of the included patients, with overall success rates of more than 97%.…”

Section: Discussionmentioning

confidence: 99%

“…Eyes with less than 75 days of follow-up after flap relift were excluded if no EI developed. 12 Additional causes for exclusion included macular disease, insufficient stromal bed for treatment, evidence or suspicion of keratectasia, hypertension, a history or risk of retinal artery or venous occlusion, glaucoma, and additional procedures (such as corneal crosslinking). The ethics committee of the Hong Kong Sanatorium & Hospital approved this study, which adhered to the tenets of the Declaration of Helsinki.…”

Section: Patientsmentioning

confidence: 99%

“…11 However, a recent case series showed that LASIK flaps can be successfully relifted up to 20 years after primary LASIK. 12…”

mentioning

confidence: 99%

See 3 more Smart Citations

Effect of time since primary laser-assisted in situ keratomileusis on flap relift success and epithelial ingrowth risk

Chang

Liu

Nadine

et al. 2022

J Cataract Refract Surg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Patientsmentioning

confidence: 99%

“…11 However, a recent case series showed that LASIK flaps can be successfully relifted up to 20 years after primary LASIK. 12…”

mentioning

confidence: 99%

See 2 more Smart Citations

Effect of time since primary laser-assisted in situ keratomileusis on flap relift success and epithelial ingrowth risk

Chang

Liu

Nadine

et al. 2022

J Cataract Refract Surg

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show abstract

“…Prior studies evaluating LASIK enhancements after primary LASIK have been published ( Table 3 ) [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 ]. At 12 months, 86% and 99% of our eyes had a UDVA of 20/20 or better and 20/40 or better, respectively.…”

Section: Discussionmentioning

confidence: 99%

Laser-Assisted In Situ Keratomileusis (LASIK) Enhancement for Residual Refractive Error after Primary LASIK

Moshirfar

Basharat

Bundogji

et al. 2022

JCM

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Background: To evaluate the safety, efficacy, and predictability of laser-assisted in situ keratomileusis (LASIK) enhancement after primary LASIK and compare to Food and Drug Administration (FDA) criteria. Methods: Patients who underwent LASIK enhancement after primary LASIK between 2002 and 2019 were compared to those who underwent LASIK without retreatment. Patient demographics, preoperative characteristics, visual outcomes, and postoperative complications were compared between groups. Epithelial ingrowth (EI) development was stratified based on duration between primary and secondary procedures. Results: We compared 901 eyes with LASIK enhancement to 1127 eyes without retreatment. Age, sex, surgical eye, sphere, cylinder, and spherical equivalent (SE) were significantly different between groups (p < 0.05). At 12 months post-enhancement, 86% of the eyes had an uncorrected distance visual acuity of 20/20 or better and 93% of eyes were within ±0.50 D of the target. Development of EI (6.1%) demonstrated an odds ratio of 16.3 in the long-term compared to the short-term (95% CI: 5.9 to 45.18; p < 0.0001). Conclusions: Older age at primary LASIK, female sex, right eye, and larger sphere, cylinder and SE were risk factors for enhancement. Risk of EI significantly increased when duration between primary and enhancement procedures exceeded five years. LASIK enhancements produce favorable outcomes and meet FDA benchmarks for safety, efficacy, and predictability.

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Lamelläre Excimerlaserchirurgie (LASIK, Femto-LASIK)

Kohnen

Petermann

Arba-Mosquera

2023

Refraktive Chirurgie

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Laser flap enhancement 5 to 9 years and 10 or more years after laser in situ keratomileusis: Safety and efficacy

Cited by 6 publications

References 10 publications

Effect of time since primary laser-assisted in situ keratomileusis on flap relift success and epithelial ingrowth risk

Effect of time since primary laser-assisted in situ keratomileusis on flap relift success and epithelial ingrowth risk

Laser-Assisted In Situ Keratomileusis (LASIK) Enhancement for Residual Refractive Error after Primary LASIK

Lamelläre Excimerlaserchirurgie (LASIK, Femto-LASIK)

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