Laser in situ Keratomileusis Flap Complications and Management.

PURPOSE: To provide detailed descriptions of intraoperative and postoperative flap complications independent of the microkeratome. Management of these complications is discussed. METHODS: Complications have been assimilated and categorized based on our past experiences and those of others. Methods for managing these complications are discussed. RESULTS: Positive results were considered to be successful resolution of the flap complication, which typically occurs in the majority of cases. CONCLUSION: LASDX is a technically difficult surgical procedure with unique complications. Excellent flap management both intraoperatively and postoperatively is essential to maximize visual outcome. Some flap complications are easily managed and others require immediate expert surgical intervention to preserve good visual outcomes. [J Refract Surg 2000;16(suppl):S223-S225].