Early Flap Displacement after LASIK

Clare, Gerry; Moore, Tara; Grills, Claire; Leccisotti, Antonio; Moore, Johnny; Schallhorn, Steve

doi:10.1016/j.ophtha.2011.01.053

Cited by 46 publications

(40 citation statements)

References 17 publications

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“…Traumatic flap dislocation is an occasionally reported but still rare complication after LASIK, which can occur immediately or many years after surgery [6, 8]. As there are reports of flap displacements happening up to 14 years [6] and flap re-lifts happening up to 18 years [9] after LASIK, there seems to remain a reduced adhesion of the flap over a long period.…”

Section: Discussionmentioning

confidence: 99%

Calzone-Like Traumatic Flap Dislocation Four Years after Laser in situ Keratomileusis

Fischinger¹,

Wendelstein

Bolz

et al. 2019

Case Rep Ophthalmol

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A 46-year-old patient presented with a flip-folded partially dislocated flap after trauma caused by a sheet of paper, four years after a reportedly uneventful laser in situ keratomileusis procedure using microkeratome. Flap re-lift, mechanical debridement, and flap stretching were performed in a first interventional approach. Due to epithelial ingrowth two month after the first intervention, a flap re-lift and mechanical removal of epithelial cells from the stroma bed and flap were performed. In addition, triamcinolone was applied subconjunctivally. Thereafter, best corrected visual acuity of 20/20 was regained and no more epithelial ingrowth was observed. Only few cases of flap dislocation with epithelial ingrowth have been described in the literature following trauma, though none of a permanently inward folded flap. The use of subconjunctival triamcinolone is a new approach to prevent recurrent epithelial ingrowth.

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Section: Discussionmentioning

confidence: 99%

Calzone-Like Traumatic Flap Dislocation Four Years after Laser in situ Keratomileusis

Fischinger¹,

Wendelstein

Bolz

et al. 2019

Case Rep Ophthalmol

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“…24 The highest incidence of flap displacements was found after surgery for hyperopia and the lowest rates after surgery for mixed astigmatism and myopia with femtosecond lasers. 24 Other studies also showed a low incidence of flap displacements in LASIK flaps created with femtosecond lasers, which is most likely related to better flap stability associated with better angulation of the side cut and resulting increased flap adhesion strength. 1,2,25 A dislocated flap should be repositioned immediately.…”

Section: Postoperative Flap Complications Dislocated Flapsmentioning

confidence: 93%

Femtosecond Laser-Assisted LASIK Flap Complications

et al. 2016

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“…LASIK flap-related complications are thankfully infrequent. One example is flap dislocation with an incidence of 0.012% [19]. LASIK flaps made with femtosecond laser are likely more stable than microkeratome flaps and the risks of serious flap-related complications has decreased with this technology [20].…”

Section: No Risk For Flap-related Complicationsmentioning

confidence: 99%