Prevention and Management of Microkeratome-related Laser in situ Keratomileusis Complications.

PURPOSE: To review the most commonly encountered laser in situ keratomileusis (LASIK) microkeratome-related complications, and the most up-to-date methods in their prevention and treatment. METHODS: A review of microkeratome-related complications including epithelial complications, bleeding, thin flap, button hole, free cap, incomplete pass, and corneal perforation was conducted. The most recent techniques for prevention and treatment of each complication were included. RESULTS AND CONCLUSION: Microkeratome complications are difficult to predict. With proper attention to anatomical and mechanical considerations, many can be reduced or prevented. [J Refract Surg 2000;16(suppl):S226-S229].