To lift or recut: changing trends in LASIK enhancement.
Publication/Presentation Date
12-1-2003
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.
Volume
29
Issue
12
First Page
2306
Last Page
2317
ISSN
0886-3350
Published In/Presented At
Rubinfeld, R. S., Hardten, D. R., Donnenfeld, E. D., Stein, R. M., Koch, D. D., Speaker, M. G., Frucht-Pery, J., Kameen, A. J., & Negvesky, G. J. (2003). To lift or recut: changing trends in LASIK enhancement. Journal of cataract and refractive surgery, 29(12), 2306–2317. https://doi.org/10.1016/j.jcrs.2003.08.013
Disciplines
Medicine and Health Sciences
PubMedID
14709291
Department(s)
Department of Medicine
Document Type
Article