Back to Search
Start Over
Laser in situ keratomileusis flap complications using mechanical microkeratome versus femtosecond laser: Retrospective comparison
- Source :
-
Journal of Cataract & Refractive Surgery . Nov2010, Vol. 36 Issue 11, p1925-1933. 9p. - Publication Year :
- 2010
-
Abstract
- Purpose: To compare the incidence of flap complications after creation of laser in situ keratomileusis (LASIK) flaps using a zero-compression microkeratome or a femtosecond laser. Setting: John A. Moran Eye Center, Department of Ophthalmology, University of Utah, Salt Lake City, Utah, USA. Design: Evidence-based manuscript. Methods: The flap complication rate was evaluated during the initial 18 months of experience using a zero-compression microkeratome (Hansatome) or a femtosecond laser (IntraLase FS60) for flap creation. Results: The flap complication rate was 14.2% in the microkeratome group and 15.2% in the femtosecond laser group (P = .5437). The intraoperative flap complication rate was 5.3% and 2.9%, respectively (P = .0111), and the postoperative flap complication rate, 8.9% and 12.3%, respectively (P = .0201). The most common intraoperative complication in the microkeratome group was major epithelial defect/sloughing; the rate (2.6%) was statistically significantly higher than in the femtosecond laser group (P = .0006). The most common postoperative complication in both groups was diffuse lamellar keratitis (DLK) (6.0%, microkeratome; 10.6%, femtosecond laser) (P = .0002). Conclusion: Although the total complication rates between the 2 groups were similar, the microkeratome group had significantly more epithelial defects intraoperatively and the femtosecond laser group had significantly more DLK cases postoperatively. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08863350
- Volume :
- 36
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Journal of Cataract & Refractive Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 54884836
- Full Text :
- https://doi.org/10.1016/j.jcrs.2010.05.027