Attacking Post-LASIK Striae. LASIK, flap striae are relatively uncommon. However, they are important for us to address because of their potential effects on our patients' quality of vision. In some cases. we use dry sponges to stretch the flap after it has adhered to the stromal bed for 1 to 2 minutes. Request PDF Prevention and Management of Flap Striae After LASIK Prevention measurements should be known by the refractive surgeon. It is critical to differentiate between macrostriae and microstriae as their. Find, read and cite all the research you need on ResearchGate.
Ashrafzadeh A, Steinert RF. Results of phototherapeutic keratectomy in the management of flap striae after LASIK before and after developing a standardized protocol: long term follow-up in an expanded patient population. Ophthalmology. 2007;114:1118–23. CrossRef PubMed Google Scholar. Flap striae are among the most challenging and frustrating complications of refractive surgery because they can be difficult to resolve and often occur after a perfectly executed LASIK procedure. Patient's Query. Hi doctor, I had LASIK on my both eyes before 10 days. The next day, my right eye was clear, but my left eye was blurry. I went to the doctor and he said that there are striae on my flap, which needs to be fixed again by a surgery.
This patient exhibits typical problems associated with flap relift, particularly when accompanied by DLK, striae, and an irregular topography. Because it has been 10 days after the primary surgery, the irregular anterior floats in the photos represent, at least in part, the localized edema. Participants. Twenty-three eyes of 22 patients with flap striae after LASIK and reduced best-corrected visual acuity or visual symptoms that resolved with diagnostic contact lens fitting treated between January 2001 and April 2002 with at least 1 month of follow-up. Question: Is there any way to fix flap striae three years after LASIK? I have been to seven doctors and none want anything to do with me. I have a lot of glare in both daytime and nighttime, and also starbursting and hazy vision.
METHODS: Eight patients who developed a buttonhole during LASIK with mechanical or femtosecond flap creation underwent one-step transepithelial PRK a few days after the formation of the buttonhole. The re-treatment procedure was performed after complete epithelial healing and smooth epithelial fluorescein profile were ensured. Flap dislocation after LASIK images courtesy of Dr. Edward Boshnick. Traumatic Flap Striae 6 Years After LASIK: Case Report and Literature Review. J Refract Surg. Vol. 26 No. 11 November 2010. Dr. George O. Waring III: "This means you can lift the LASIK flap indefinitely after LASIK. the Management of Flap Striae after LASIK Roger F. Steinert, MD,1,2 Amin Ashrafzadeh, MD,1,3 Peter S. Hersh, MD4 Objective: To evaluate the efﬁcacy of phototherapeutic keratectomy PTK in reducing or resolving visually signiﬁcant surface irregularities resulting from ﬂap striae after LASIK. 23/08/2018 · Significant pain and severely reduced vision are common signs of the condition. Such dislocated flap should be repositioned as soon as possible in order to prevent formation of fixed folds and epithelial ingrowth. Flap striae after LASIK can occur in up to 3.5% of patients – more common than full flap dislocations.
15/02/2014 · If vision is affected by the striae, the risk of surgical intervention is usually easily accepted, given the potential long-term benefits of enhanced vision. Although flaps can be lifted and repositioned several months after the initial surgery, earlier intervention is usually better. Flap Fold or Striae. The risk factors for flap folds include excessive irrigation of flap during LASIK, poor repositioning of the flap at the end of procedure, thin flaps, deep and highly myopic ablation with flap-bed mismatch. Flap folds may be classified into macro- and microstriae. Macrostriae. Macrostriae are full thickness, rolling stromal. Journal of Cataract & Refractive Surgery.
LASIK Complications & Risk of Corneal Flap Irregularities. Small wrinkles called striae pronounced stri’-e can occur in the corneal flap after LASIK surgery. Usually they do not interfere with a LASIK patient’s vision and not additional treatment is needed. However, sometimes the striae are serious enough to decrease visual acuity. 26/11/2010 · Journal of Refractive Surgery Purpose:To report a case of traumatic flap striae without flap dislocation 6 years after LASIK and provide a literature review of surgical flap striae, late traumatic flap striae, and their management.Methods:A 28-year-old man presented with late traumatic flap striae without concurrent flap.
2. Hernández-Matamoros J, Iradier MT, Moreno E. Treating folds and striae after laser in situ keratomileusis. J Cataract Refract Surg. 2001; 27:350-2. [ Links ] 3. Solomon R, Donnenfeld ED, Perry HD, Doshi S, Biser S. Slitlamp stretching of the corneal flap after laser in situ keratomileusis to reduce corneal striae. Purpose.To report a case of corneal haze after attempts to eliminate post–laser in situ keratomileusis LASIK lamellar striae.Methods.Case report.Results.A 24-year-old woman with visually significant flap striae 2 months after LASIK underwent manual epithelial debridement and flap hydration, refloa. 20/03/2019 · Managing Striae Weeks After LASIK Beeran Meghpara, MD. A 31-year-old man underwent bilateral myopic LASIK. Although the surgical outcome in his right eye was successful, the patient had persistently poor postoperative visual acuity in his left eye. After lifting the flap.
06/12/2019 · Finally, a femtosecond laser can create a corneal flap that has edges that enable the flap to fit more securely in place after the LASIK procedure, potentially reducing healing time and decreasing the risk of dislocation of the flap after surgery. Femtosecond laser flaps: Potential complications. Acute onset bilateral blurry vision after LASIK surgery. subepithelial infiltrates were noted, most prominently at the LASIK flap interface. In the left eye, moderate cellular infiltrates with some clumping were present from the 1 o’clock to 9 o’clock. as in DLK, although with CTK, there is stromal tissue loss and often corneal striae. Postoperative management is crucial in LASIK, and patients must be instructed to not rub or squeeze his or her eyes and to wear eyeshields at night. Despite adequate surgical technique, postoperative eye rubbing or squeezing may cause flap striae, especially when the flap is thin ie, this case. Causes: thin or large flap, excessive dehydration of the flap, high myopic or hyperopic correction and uneven smoothing of the corneal flap surface after the primary procedure. Treatment: If identified early, the flap may be relifted, stretched, hydrated and gently smoothed to remove the striae. In recalcitrant cases, suture placement at the. 15/07/2010 · Though LASIK is an extremely effective and safe procedure for the right patient, there's always the possibility of a complication. Epithelial cells can begin to migrate beneath the flap, flap striae can develop or your femtosecond laser can produce bubbles in the anterior chamber that block your excimer laser's tracker.
Dr. Cory Lessner shows how to do LASIK Enhancements, Remove Epithelial Ingrowth, Striae Removal, Flap Correction, Macrostriae, Microstriae, Sand of the Sahara, DLK, etc on the Slit Lamp.
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