Transected Lamellar Cut Following Second Pass with a Femtosecond Laser after Incomplete Flap Construction during Laser In Situ Keratomileusis

Liu, Anthony; Manche, Edward E.

doi:10.4172/2155-9570.1000215

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2014

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“…The second pass resulted in an opacified stromal scar and a loss of 6 lines of best-corrected visual acuity. 3 In contrast to our report and those of others, the second cut was not applied at the same session but rather 5 days later. A study in porcine eyes showed that an immediate second femtosecond laser pass may cause irregular surface and multiple flaps and lead to a free sliver of the corneal stroma.…”

Section: Discussioncontrasting

confidence: 85%

Successful femtosecond LASIK flap creation despite multiple suction losses

Syed

Melki

2014

Digit J Ophthalmol

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We present a case of successful completion of a laser in situ keratomileusis (LASIK) procedure despite 5 episodes of suction loss during femtosecond flap creation in a 30-year-old man with no risk factors. The patient had an uncorrected distance visual acuity of 20/20 in both eyes at his 2-month follow-up visit. Our experience in this case shows that multiple suction losses during femtosecond LASIK flap creation do not preclude completion of a successful procedure with excellent visual outcomes. Caution and technique modification are advised if multiple laser passes are applied to avoid creating multiplanar flaps.

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Section: Discussioncontrasting

confidence: 85%