To lift or recut: changing trends in LASIK enhancement.
J Cataract Refract Surg
; 29(12): 2306-17, 2003 Dec.
Article
em En
| MEDLINE
| ID: mdl-14709291
ABSTRACT
PURPOSE:
To report serious complications caused by recutting laser in situ keratomileusis (LASIK) flaps for enhancement and reconsider the current preferred method of LASIK enhancement.SETTING:
Multiple surgeon practices.METHODS:
This retrospective noncomparative nonconsecutive case series comprised LASIK patients in the private practices of 9 experienced refractive surgeons and those reported in a survey of refractive surgeons. Case histories, refractions, corneal topographies, slitlamp photographs, and measurements of uncorrected and best corrected (BCVA) visual acuity after recutting LASIK flaps were collected. Surveys of refractive surgeons and an analysis of changing practice trends among the authors and these surgeons were assessed.RESULTS:
In 12 cases, significant loss of BCVA and subjective visual difficulties resulted from recutting LASIK flaps. Most surveyed surgeons had changed their practice from recutting to lifting flaps even 9 to 10 years postoperatively with good results.CONCLUSION:
Recutting flaps for enhancement should be avoided unless other alternatives are unavailable.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Retalhos Cirúrgicos
/
Substância Própria
/
Ceratomileuse Assistida por Excimer Laser In Situ
/
Miopia
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Cataract Refract Surg
Ano de publicação:
2003
Tipo de documento:
Article