Suction loss during thin-flap femto-LASIK: management and beneficial refractive effect of the epithelium

David Smadja; Marcony R Santhiago; Glauco Reggiani Mello; Edgar M Espana; Ronald R Krueger

doi:10.1016/j.jcrs.2012.02.004

Suction loss during thin-flap femto-LASIK: management and beneficial refractive effect of the epithelium

J Cataract Refract Surg. 2012 May;38(5):902-5. doi: 10.1016/j.jcrs.2012.02.004. Epub 2012 Mar 8.

Authors

David Smadja¹, Marcony R Santhiago, Glauco Reggiani Mello, Edgar M Espana, Ronald R Krueger

Affiliation

¹ Department of Refractive Surgery, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA. [email protected]

PMID: 22405992
DOI: 10.1016/j.jcrs.2012.02.004

Abstract

We report the case of a 42-year-old man who experienced loss of suction during thin-flap femto-laser in situ keratomileusis, leading to a stromal step in the superior cornea where the cutting was stopped. The procedure was converted to photorefractive keratectomy 2 weeks later. Management of the loss of suction and the beneficial role played by the epithelium postoperatively on the refractive outcomes are discussed.

Financial disclosure: No author has a financial or proprietary interest in any material or method mentioned.

Publication types

Case Reports

MeSH terms

Aberrometry
Adult
Corneal Stroma / physiopathology
Corneal Stroma / surgery*
Corneal Topography
Humans
Intraoperative Complications*
Keratomileusis, Laser In Situ / methods*
Lasers, Excimer / therapeutic use
Male
Myopia / physiopathology
Myopia / surgery*
Photorefractive Keratectomy
Suction*
Surgical Flaps*
Tomography, Optical Coherence
Treatment Outcome