Mechanical penetration of a femtosecond laser-created laser-assisted in situ keratomileusis flap

Cornea
Samir A Shah, Walter J Stark

Abstract

We report a case of mechanical flap penetration during LASIK using the Intralase femtosecond laser. Case Report. A 50-year-old hyperope planned to have LASIK using the Intralase femtosecond laser. During the creation of the flap, a gas bubble formed anterior to the flap. This area was noted to be adherent to the cornea. Attempts to lift the flap resulted in flap penetration. The case was aborted, and the flap was repositioned. At postoperative week one, the patient's visual acuity was restored to preoperative levels. When a gas bubble appears during the creation of a LASIK flap with the Intralase femtosecond laser, we recommend waiting for the bubble to disperse. If significant resistance is encountered during the lifting of the flap, we suggest aborting the case.

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Citations

Jul 15, 2015·Ocular Immunology and Inflammation·Massimo AccorintiFrancesca Romana Pesci
Feb 26, 2014·Ocular Immunology and Inflammation·Shikha GuptaTushar Agarwal
Sep 30, 2014·Journal of Cataract and Refractive Surgery·Giovana Castilho Ribeiro, Ronald R Krueger
Nov 20, 2014·Journal of Ocular Pharmacology and Therapeutics : the Official Journal of the Association for Ocular Pharmacology and Therapeutics·Barry A SchechterWilliam Trattler
Oct 29, 2015·Cornea·Lamprini PapaioannouMiltiadis Papathanassiou
Dec 24, 2014·Eye & Contact Lens·Jennifer ParkDavid C Gritz
Aug 21, 2013·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·B StegerN Bechrakis

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