Special Issue on Refractive Surgery

Moshirfar, Majid; Ronquillo, Yasmyne C

doi:10.3390/jcm11030684

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Early changes involve the formation of a thin membrane covering the anterior and posterior surfaces of the IOL (intraocular lens), fibrosis and capsular contraction causing slight anterior displacement to the posterior chamber of the IOL. This membrane may also cover the anterior retina and ciliary body, leading to hypotony [19,20].…”

Section: Discussionmentioning

confidence: 99%

Glaucoma drainage device implantation in glaucoma associated with aniridia

Ostojski,

Charabin,

Modrzejewska

et al. 2023

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Section: Discussionmentioning

confidence: 99%

Glaucoma drainage device implantation in glaucoma associated with aniridia

Ostojski,

Charabin,

Modrzejewska

et al. 2023

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“…5 Although flap dislocation is still rare, especially in low myopic patients with no known risk factors, femtosecond laser is preferred to mechanical microkeratome because there is decreased risk for early flap displacement. 6 However, it must be noted that femtosecond laser carries risk for unique complications, such as epithelial gas breakthrough and opaque bubble layers.…”

Section: Majid Moshirfar MD Facs Jenna Jensen Bs Carter Payne Bsmentioning

confidence: 99%

Early LASIK flap displacement without signs of infection

Pinto¹,

Sampaio²,

Santhiago³

2022

J Cataract Refract Surg

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A 37-year-old woman was referred for refractive surgery evaluation. Poor visual quality in her left eye is her chief concern. The patient had undergone laser in situ keratomileusis (LASIK) in both eyes 3 days previously.Detailed history revealed that the patient underwent surgery to correct low myopia and astigmatism (À2.50 À2.75 × 180 in the right eye and À1.25 À2.75 × 180 in the left eye). The preoperative evaluation corrected distance visual acuity (CDVA) was 20/20 in the right eye and 20/20 in the left eye. The surgery was performed with a mechanical microkeratome and was uneventful. The patient reports that after her vision improved on the first day, she woke up with blurry vision in her left eye on the second day and it remained that way until the third day when she sought medical help.The slitlamp examination showed LASIK flap displacement without signs of infection (Figure 1). The patient was using topical corticosteroids and topical antibiotics every 6 hours. Considering the likely stromal exposure time, what would be the best approach for this case? Does the probable time of displacement of this flap change its behavior? In what way? If you decide to reposition the flap, would it be interesting to use fibrin glue or suture? Considering that there was no major trauma in the patient's report, what is the importance of the LASIK flap having been created by a mechanical microkeratome and not by a femtosecond laser in the displacement of the flap?

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Implanting toric implantable collamer lens displays better astigmatism correction than implantable collamer lens combined with manually limbal relaxing incision

Yang

Zhang

et al. 2023

BMC Ophthalmol

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Background This retrospective study aimed to compare the outcomes of toric implantable collamer lens (TICL) surgery with those of implantable collamer lens (ICL) implantation combined with limbal relaxing incision (LRI) in patients with low myopia and astigmatism. Methods A total of 40 eyes of 28 patients who underwent TICL implantation and 40 eyes of 27 patients who underwent ICL implantation combined with manually LRI between 2021 and 2022 were included. Primary outcomes were manifest sphere and cylinder, intraocular pressure, visual acuity, and astigmatism parameters at 1 day, 1 week, and 1, 3, and 6 months postoperatively. Results The two surgeries showed comparable effects on manifest sphere and cylinder, intraocular pressure, and visual acuity (all p > 0.1). Surgery-induced astigmatism (SIA) was maintained as stable in the TICL group (1.73 to 1.68, p = 0.420), but was significantly reduced in the ICL/LRI group (1.74 to 1.17, p = 0.001) from preoperative to postoperative 6 months. The TICL group displayed significantly higher SIA and correction index at postoperative 1, 3, and 6 months than the ICL/LRI group (at 6 months: SIA, 1.68 (1.26, 1.96) vs., 1.17 (1.00, 1.64), p = 0.010; CI: 0.98 (0.78, 1.25) vs. 0.80 (0.61, 1.04), p = 0.018). No complications occurred during follow-up. Conclusions The effects of ICL/LRI are comparable to those of TICL in correcting myopia. TICL implantation displays better astigmatism correction than ICL/LRI.

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Special Issue on Refractive Surgery

Abstract: Laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK), for the treatment of refractive errors, continues to evolve [...]

Cited by 3 publications

References 8 publications

Glaucoma drainage device implantation in glaucoma associated with aniridia

Glaucoma drainage device implantation in glaucoma associated with aniridia

Early LASIK flap displacement without signs of infection

Implanting toric implantable collamer lens displays better astigmatism correction than implantable collamer lens combined with manually limbal relaxing incision

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