Nd:YAG laser for epithelial ingrowth after laser in situ keratomileusis

Mohammed, Osama Ali; Mounir, Amr; Hassan, Ahmad Hamody; Alsmman, Alahmady Hamad; Mostafa, Engy Mohamed

doi:10.1007/s10792-018-0923-1

Cited by 7 publications

(4 citation statements)

References 26 publications

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“…All these operations are invasive and do not guarantee recurrence prevention. [33] Risk factors include poor adhesion of the flap margin, epithelial abrasion at the flap margin, loose cap, buttonhole flap, ablation at the stromal bed margin, and epithelial irregularity at the flap margin, Introduction of epithelial cells, minimal irrigation, and prior radial resection. Keratotomy (RK) and revision surgery.…”

Section: Dislocationsmentioning

confidence: 99%

“…Intraoperative complications, although infrequent, include Microkeratome-related flap complications (flap buttonhole, free cap, and incomplete, short, or irregular flaps), corneal perforation, corneal epithelial defect, conjunctival bleeding, subconjunctival hemorrhage, and interface debris [6]. Post-operative Complications include inaccurate correction, visual aberrations, flap striae (macrostriae -microstriae) [6], flap dislocation, dry eye, diffuse lamellar keratitis (DLK), pressure-induced stromal keratitis (PISK), infectious keratitis [7], and epithelial ingrowth [8]. Aim of the Study: To assess incidences, possible aetiology of the intra-operative, and early post-operative complications of LASIK.…”

mentioning

confidence: 99%

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Assessment of Intra-operative and Early Post-operative Complications of Laser in–situ Keratomileusis

2024

Journal of Current Medical Research and Practice

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Several Laser in-situ keratomileusis (LASIK) complications have been identified over the years. Reporting complications of LASIK surgery will help refine the approach to their management. LASIK was introduced in the late 1980s with the development of the ophthalmic excimer laser [1,2]. To avoid the disadvantages of photorefractive keratectomy (PRK), LASIK was introduced [3]. LASIK rapidly increased in popularity and became the predominant form of refractive surgery in the late 1990s and continues till today [4]. Correcting different refractive errors, including myopia, hyperopia, and astigmatism, is the main aim of all laser refractive procedures. LASIK has been used to treat many degrees of myopia with promising results, and there are great expectations for treating farsightedness. Compared to PRK, LASIK is advantageous in causing minimal postoperative discomfort, rapid restoration of visual clarity and stability of refractive changes, less frequent opacification, and better ability to correct high levels of myopia. Intraoperative complications, although infrequent, include Microkeratome-related flap complications (flap buttonhole, free cap, and incomplete, short, or irregular flaps), corneal perforation, corneal epithelial defect, conjunctival bleeding, subconjunctival hemorrhage, and interface debris [6]. Post-operative Complications include inaccurate correction, visual aberrations, flap striae (macrostriae -microstriae) [6], flap dislocation, dry eye, diffuse lamellar keratitis (DLK), pressure-induced stromal keratitis (PISK), infectious keratitis [7], and epithelial ingrowth [8]. Aim of the Study: To assess incidences, possible aetiology of the intra-operative, and early post-operative complications of LASIK. Literature-based Methodology: The intra-operative complication rate, reported between 0.7% and 6.5% [6], is most commonly associated with flap-related issues, including mechanical or FS Laser complications. Ethical Consideration: The study was approved by the Ethical Committee at the Faculty of Medicine, Assiut University (IRB No.17101184).

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Section: Dislocationsmentioning

confidence: 99%

mentioning

confidence: 99%

Assessment of Intra-operative and Early Post-operative Complications of Laser in–situ Keratomileusis

2024

Journal of Current Medical Research and Practice

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“…In the initial stages (grade 1) observation is recommended, but for advanced stages, flap lift, thorough mechanical debridement of epithelial cells with profound wash of stromal bed, and Mitomycine C 0.02% application for preventing ingrowth recurrence (observed in one-third of cases) [83] Some literature advise low energy (0.6 mJ) Nd-YAG laser for treating ingrowth [83,88]. When LASIK Goes Wrong or LASIK Complications Dilemmas DOI: http://dx.doi.org/10.5772/intechopen.107924…”

Section: Epithelial Ingrowthmentioning

confidence: 99%

When LASIK Goes Wrong or LASIK Complications Dilemmas

Gilevska¹,

Bohač²,

Suić³

et al. 2022

Refractive Surgery - Types of Procedures, Risks, and Benefits

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Laser in situ keratomileusis (LASIK) is one of the most commonly performed refractive surgical procedures. During the last two decades, surgical procedure has evolved, but still, there are several intraoperative and postoperative complications possible. Every young LASIK surgeon spends most of the reading time on LASIK complications. They are not frequent, but you have to know precisely what to do when they happen. This chapter should be a guide, based on literature and experience, on how to deal with intraoperative, early postoperative, and late postoperative complications. This chapter will include managing irregular flaps, buttonholes, and free flaps. The treatment scheme for DLK, epithelial ingrowth, and PISK, and when is the time for flap re-lifting. How frequent should be patients’ visits not to miss the complication on time? When is the right time for LASIK reoperation? Post LASIK corneal ectasia and how to perform cross-linking over LASIK. Young surgeons need precise guidelines, not just theoretical treatment options to achieve optimal visual outcomes after LASIK procedure.

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“…[ 88 90 ] Recently, low energy (0.6 mJ) Nd-YAG laser has been used for management in few cases. [ 88 91 ]…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Complications of laser-assisted in situ keratomileusis

Sahay

Bafna

Reddy

et al. 2021

Indian Journal of Ophthalmology

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Laser-assisted in situ keratomileusis (LASIK) is one of the most commonly performed kerato-refractive surgery globally. Since its introduction in 1990, there has been a constant evolution in its technology to improve the visual outcome. The safety, efficacy, and predictability of LASIK are well known, but complications with this procedure, although rare, are not unknown. Literature review suggests that intraoperative complications include suction loss, free cap, flap tear, buttonhole flap, decentered ablation, central island, interface debris, femtosecond laser-related complications, and others. The postoperative complications include flap striae, flap dislocation, residual refractive error, diffuse lamellar keratitis, microbial keratitis, epithelial ingrowth, refractive regression, corneal ectasia, and others. This review aims to provide a comprehensive knowledge of risk factors, clinical features, and management protocol of all the reported complications of LASIK. This knowledge will help in prevention as well as early identification and timely intervention with the appropriate strategy for achieving optimal visual outcome even in the face of complications.

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Nd:YAG laser for epithelial ingrowth after laser in situ keratomileusis

Abstract: YAG laser is a simple, effective outpatient procedure for the management of epithelial ingrowth after LASIK.

Cited by 7 publications

References 26 publications

Assessment of Intra-operative and Early Post-operative Complications of Laser in–situ Keratomileusis

Assessment of Intra-operative and Early Post-operative Complications of Laser in–situ Keratomileusis

When LASIK Goes Wrong or LASIK Complications Dilemmas

Complications of laser-assisted in situ keratomileusis

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