دورية أكاديمية
Late approach for LASIK flap striae.
| العنوان: | Late approach for LASIK flap striae. |
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| المؤلفون: | Morgado CR, Santhiago MR, Steigleman WA, Hofmeister EM, Henriquez MA, Zarei-Ghanavati S, Yoo SH, Jacob S, Schallhorn J |
| المصدر: | Journal of cataract and refractive surgery [J Cataract Refract Surg] 2023 Dec 01; Vol. 49 (12), pp. 1285-1289. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer on behalf of ASCRS and ESCRS Country of Publication: United States NLM ID: 8604171 Publication Model: Print Cited Medium: Internet ISSN: 1873-4502 (Electronic) Linking ISSN: 08863350 NLM ISO Abbreviation: J Cataract Refract Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Hagerstown, MD] : Wolters Kluwer on behalf of ASCRS and ESCRS Original Publication: [Fairfax, Va.] : American Society of Cataract and Refractive Surgery, [c1986- |
| مواضيع طبية MeSH: | Keratomileusis, Laser In Situ* , Photorefractive Keratectomy*/methods, Male ; Humans ; Young Adult ; Adult ; Corneal Stroma/surgery ; Visual Acuity ; Lasers, Excimer/therapeutic use ; Refraction, Ocular |
| مستخلص: | A 24-year-old man was referred for postrefractive surgery evaluation. The patient had a history of uneventful laser in situ keratomileusis (LASIK) in both eyes 3 months previously. According to the surgeon who originally performed the surgery, on slitlamp examination, only microstriae in the left eye was detected on postoperative day 1 and a more conservative follow-up approach was adopted without further immediate intervention. The patient returned only 3 months after surgery, complaining of low vision in the left eye that, according to the patient, had been present since postoperative week 2. The patient was then referred for examination and surgical procedure with a diagnosis of significant postoperative striae. The slitlamp examination revealed a LASIK flap with striae, epithelial filling, and a wrinkled appearance (Figure 1JOURNAL/jcrs/04.03/02158034-202312000-00017/figure1/v/2023-11-20T151558Z/r/image-tiff). There were no signs of infection or inflammation. Originally, the LASIK flap was programmed to be 110 μm. Preoperative manifest refraction in the right eye was -5.25 (20/20) and in the left eye was -5.25 (20/20). Assuming it is a case of late-approach LASIK flap striae, how would you proceed? Would you try to hydrate and lift the flap and just reposition it? Would you avoid lifting and associate phototherapeutic keratectomy (PTK) with excimer laser on top of the flap? Would you consider topo-guided surgery with regularization of the visual axis or even amputation of the flap? (Copyright © 2023 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.) |
| تواريخ الأحداث: | Date Created: 20231120 Date Completed: 20231127 Latest Revision: 20231128 |
| رمز التحديث: | 20231128 |
| DOI: | 10.1097/j.jcrs.0000000000001342 |
| PMID: | 37982777 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1873-4502 |
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| DOI: | 10.1097/j.jcrs.0000000000001342 |