Risk factors in interface epithelialization after laser in situ keratomileusis

Nada S. Jabbur, Carlos F. Chicani, Irene C. Kuo, Terrence O'Brien

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

PURPOSE: To identify risk factors associated with primary and recurrent epithelial ingrowth after laser in situ keratomileusis (LASIK) requiring surgical debridement. METHODS: Charts of patients who required single or multiple surgical debridements of epithelial ingrowth were reviewed retrospectively and analyzed to identify preoperative, intraoperative, and postoperative risk factors. RESULTS: Fourteen of 22 patients had epithelial ingrowth that required a single surgical removal. These were mostly associated with the surgeon's learning curve, epithelial injury and enhancement by lifting the flap. Multiple surgical debridements were required in eight patients and some of these were associated with epithelial basement membrane degeneration and a history of type I diabetes. CONCLUSIONS: Refractive surgeons should be aware of surgical and non-surgical ocular and systemic risk factors associated with both primary and recurrent epithelial ingrowth after LASIK to appropriately consent patients seeking refractive surgery. Type I diabetes may increase the risk of epithelial downgrowth in LASIK.

Original languageEnglish
Pages (from-to)343-348
Number of pages6
JournalJournal of Refractive Surgery
Volume20
Issue number4
StatePublished - Jul 1 2004
Externally publishedYes

Fingerprint

Laser In Situ Keratomileusis
Debridement
Type 1 Diabetes Mellitus
Refractive Surgical Procedures
Learning Curve
Basement Membrane
Wounds and Injuries
Surgeons

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Risk factors in interface epithelialization after laser in situ keratomileusis. / Jabbur, Nada S.; Chicani, Carlos F.; Kuo, Irene C.; O'Brien, Terrence.

In: Journal of Refractive Surgery, Vol. 20, No. 4, 01.07.2004, p. 343-348.

Research output: Contribution to journalArticle

Jabbur, Nada S. ; Chicani, Carlos F. ; Kuo, Irene C. ; O'Brien, Terrence. / Risk factors in interface epithelialization after laser in situ keratomileusis. In: Journal of Refractive Surgery. 2004 ; Vol. 20, No. 4. pp. 343-348.
@article{eb33e60d96a8453da0859847fab5860a,
title = "Risk factors in interface epithelialization after laser in situ keratomileusis",
abstract = "PURPOSE: To identify risk factors associated with primary and recurrent epithelial ingrowth after laser in situ keratomileusis (LASIK) requiring surgical debridement. METHODS: Charts of patients who required single or multiple surgical debridements of epithelial ingrowth were reviewed retrospectively and analyzed to identify preoperative, intraoperative, and postoperative risk factors. RESULTS: Fourteen of 22 patients had epithelial ingrowth that required a single surgical removal. These were mostly associated with the surgeon's learning curve, epithelial injury and enhancement by lifting the flap. Multiple surgical debridements were required in eight patients and some of these were associated with epithelial basement membrane degeneration and a history of type I diabetes. CONCLUSIONS: Refractive surgeons should be aware of surgical and non-surgical ocular and systemic risk factors associated with both primary and recurrent epithelial ingrowth after LASIK to appropriately consent patients seeking refractive surgery. Type I diabetes may increase the risk of epithelial downgrowth in LASIK.",
author = "Jabbur, {Nada S.} and Chicani, {Carlos F.} and Kuo, {Irene C.} and Terrence O'Brien",
year = "2004",
month = "7",
day = "1",
language = "English",
volume = "20",
pages = "343--348",
journal = "Journal of Refractive Surgery",
issn = "1081-597X",
publisher = "Slack Incorporated",
number = "4",

}

TY - JOUR

T1 - Risk factors in interface epithelialization after laser in situ keratomileusis

AU - Jabbur, Nada S.

AU - Chicani, Carlos F.

AU - Kuo, Irene C.

AU - O'Brien, Terrence

PY - 2004/7/1

Y1 - 2004/7/1

N2 - PURPOSE: To identify risk factors associated with primary and recurrent epithelial ingrowth after laser in situ keratomileusis (LASIK) requiring surgical debridement. METHODS: Charts of patients who required single or multiple surgical debridements of epithelial ingrowth were reviewed retrospectively and analyzed to identify preoperative, intraoperative, and postoperative risk factors. RESULTS: Fourteen of 22 patients had epithelial ingrowth that required a single surgical removal. These were mostly associated with the surgeon's learning curve, epithelial injury and enhancement by lifting the flap. Multiple surgical debridements were required in eight patients and some of these were associated with epithelial basement membrane degeneration and a history of type I diabetes. CONCLUSIONS: Refractive surgeons should be aware of surgical and non-surgical ocular and systemic risk factors associated with both primary and recurrent epithelial ingrowth after LASIK to appropriately consent patients seeking refractive surgery. Type I diabetes may increase the risk of epithelial downgrowth in LASIK.

AB - PURPOSE: To identify risk factors associated with primary and recurrent epithelial ingrowth after laser in situ keratomileusis (LASIK) requiring surgical debridement. METHODS: Charts of patients who required single or multiple surgical debridements of epithelial ingrowth were reviewed retrospectively and analyzed to identify preoperative, intraoperative, and postoperative risk factors. RESULTS: Fourteen of 22 patients had epithelial ingrowth that required a single surgical removal. These were mostly associated with the surgeon's learning curve, epithelial injury and enhancement by lifting the flap. Multiple surgical debridements were required in eight patients and some of these were associated with epithelial basement membrane degeneration and a history of type I diabetes. CONCLUSIONS: Refractive surgeons should be aware of surgical and non-surgical ocular and systemic risk factors associated with both primary and recurrent epithelial ingrowth after LASIK to appropriately consent patients seeking refractive surgery. Type I diabetes may increase the risk of epithelial downgrowth in LASIK.

UR - http://www.scopus.com/inward/record.url?scp=3242790122&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3242790122&partnerID=8YFLogxK

M3 - Article

C2 - 15307396

AN - SCOPUS:3242790122

VL - 20

SP - 343

EP - 348

JO - Journal of Refractive Surgery

JF - Journal of Refractive Surgery

SN - 1081-597X

IS - 4

ER -