Protective effect of LASIK flap in penetrating keratoplasty following blunt trauma

Canto, Ana Paula; Vaddavalli, Pravin K.; Yoo, Sonia H.; Culbertson, William W.; Belmont, Sandra C.

doi:10.1016/j.jcrs.2011.08.024

Cited by 2 publications

(2 citation statements)

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“…Its popularity stems from its ability to correct a wide range of refractive errors with reportedly better and more predictable visual recovery outcomes than other procedures [2, 6–8]. Complications are relatively low in incidence but include corneal perforation and scarring, flap-related issues, epithelial ingrowth, and graft-host junction dehiscence [2, 8, 9]. Taken together, femto-LASIK has become a reasonable option for correcting residual refractive errors from PK.…”

Section: Introductionmentioning

confidence: 99%

Femtosecond Laser-Assisted In Situ Keratomileusis Treatment of Residual Refractive Error following Femtosecond Laser-Enabled Keratoplasty

Shen

Tsai

Castro

et al. 2019

Journal of Ophthalmology

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Purpose. To evaluate the safety and effectiveness of femtosecond laser-assisted in situ keratomileusis (LASIK) in the treatment of residual myopia and astigmatism following femtosecond laser-enabled keratoplasty (FLEK). Design. Retrospective case review. Methods. Chart review of all patients with prior FLEK who subsequently underwent femto-LASIK surgery after full suture removal was performed at the Gavin Herbert Eye Institute at the University of California, Irvine. A total of 14 eyes in 13 patients met this criterion, and their comprehensive examinations performed at standard intervals were reviewed. Main outcome measures include uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) expressed as the logarithm of the minimum angle of resolution (logMAR), manifest refractive astigmatism, and spherical equivalent. Results. From the preoperative visit to the 3 month visit, all 14 eyes significantly improved in UDVA (logMAR, 0.93 ± 0.23 to 0.44 ± 0.32, P=0.002) with no loss of CDVA (logMAR, 0.26 ± 0.19 to 0.18 ± 0.23, P=0.50). All 14 eyes showed significant improvement in manifest refractive astigmatism (4.71 ± 1.77 to 2.18 ± 1.45 diopters (D), P=0.003) and spherical equivalent (−2.57 ± 2.45 to −0.48 ± 0.83 D, P=0.0007). There were no flap or graft complications as a result of femto-LASIK. Conclusions. Our findings suggest that femto-LASIK on eyes with prior FLEK is safe and effective in improving visual acuity and reducing residual astigmatism.

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Section: Introductionmentioning

confidence: 99%

Femtosecond Laser-Assisted In Situ Keratomileusis Treatment of Residual Refractive Error following Femtosecond Laser-Enabled Keratoplasty

Shen

Tsai

Castro

et al. 2019

Journal of Ophthalmology

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show abstract

“…The difficulties in LASIK include challenging preoperative evaluation, irregular corneal surface, previous AK cuts, corneal biomechanics change and inadequate stromal thickness for full HOA correction [48,52 & ,96,97]. The resultant complications can be flap-related ones, increased risk of graft-host junction dehiscence, epithelial ingrowth, and corneal scarring [7,91,98].…”

Section: Outcomes Of Refractive Surgery In Corneal Graftsmentioning

confidence: 99%