Epithelial breakthrough during IntraLase flap creation for laser in situ keratomileusis

被引:37
|
作者
Seider, Michael I. [1 ]
Ide, Takeshi [1 ]
Kymionis, George D. [1 ]
Culbertson, William W. [1 ]
O'Brien, Terrence P. [1 ]
Yoo, Sonia H. [1 ]
机构
[1] Bascom Palmer Eye Inst, Miami, FL 33136 USA
来源
关键词
D O I
10.1016/j.jcrs.2007.12.043
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
We report the clinical manifestations and outcomes in 4 patients who experienced premature gas-bubble leakage during raster lamellar dissection during IntraLase femtosecond laser corneal flap creation. Three patients experienced a full-thickness epithelial breakthrough and the fourth, a flap tear. The patient who experienced the flap tear was unable to have laser in situ keratomileusis successfully. The flap complications did not result in a decreased best corrected visual acuity in any patient but may have resulted in epithelial ingrowth in one and a corneal scar and microstriae in another. Potential predisposing factors for epithelial breakthrough, the incidence of epithelial breakthrough, and methods for avoiding and salvaging traumatic corneal flaps are discussed.
引用
收藏
页码:859 / 863
页数:5
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