TY - JOUR
T1 - Epithelial breakthrough during IntraLase flap creation for laser in situ keratomileusis
AU - Seider, Michael I.
AU - Ide, Takeshi
AU - Kymionis, George D.
AU - Culbertson, William W.
AU - O'Brien, Terrence P.
AU - Yoo, Sonia H.
PY - 2008/5
Y1 - 2008/5
N2 - 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.
AB - 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.
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U2 - 10.1016/j.jcrs.2007.12.043
DO - 10.1016/j.jcrs.2007.12.043
M3 - Article
C2 - 18471647
AN - SCOPUS:42949094649
VL - 34
SP - 859
EP - 863
JO - Journal of Cataract and Refractive Surgery
JF - Journal of Cataract and Refractive Surgery
SN - 0886-3350
IS - 5
ER -