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- Title
Intraoperative flap-related complications in FemtoLASIK surgeries performed with Visumax® femtosecond laser: A ten-year Romanian experience.
- Authors
Tăbăcaru, Bogdana; Stanca, Simona; Mocanu, Valeria; Zemba, Mihail; Stanca, Horia Tudor; Munteanu, Mihnea
- Abstract
Incidence and clinical results of intraoperative flap and interface-related complications were investigated after Femtosecond-LASIK surgery, where flap creation was performed with VisuMax® femtosecond laser. A retrospective 10-year cohort study was conducted including all eyes treated for all refractive errors by Femtosecond-LASIK technique. All the flaps were made by the same refractive surgeon with the VisuMax® (Carl Zeiss Meditec) femtosecond laser. We report the intraoperative flap and interface-related complications in these eyes, also describing their management. The study included 4,032 eyes. Flap and interface-related complications were: opaque bubble layer (OBL) 21.18%, suction loss 1.29%, difficult docking 0.69%, difficult dissection of the flap 0.59%, bleeding from limbal blood vessels 0.35%, de-epithelialization of the flap 0.12%, and interface debris 0.025%. These situations were appropriately addressed, with favorable outcomes. Flap creation is an important step in LASIK surgery. The predictability and safety have improved since the flap incision is assisted by a femtosecond laser, but complications of the flap and interface can still occur during the flap creation. Refractive surgeons should be aware and properly manage any unusual situation.
- Subjects
CARL Zeiss AG; FEMTOSECOND lasers; SURGICAL complications; LASIK; ABERROMETRY; REFRACTIVE errors; BLOOD vessels
- Publication
Experimental & Therapeutic Medicine, 2020, Vol 20, Issue 3, p2529
- ISSN
1792-0981
- Publication type
Article