Complications of laser in situ keratomileusis (LASIK)

Khalid F. Tabbara, H. F. El-Sheikh, C. L. Vera-Cristo

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE. To report major complications associated with laser in situ keratomileusis (LASIK). METHODS. Twenty-four eyes of 23 patients who underwent LASIK in different centers in Saudi Arabia were included. There were 9 women and 14 men. The age range was from 20 to 65 years. Nineteen of the 23 patients had been referred to the Eye Center for management. All patients had a complete ophthalmologic examination, refraction, corneal topography and pachymetry. RESULTS. The 24 eyes of 23 patients had complications consequent to LASIK. Thirteen were intraoperative complications, and 11 postoperative. Ten (44%) of the 23 cases were related to the corneal flap, two (9%) with intraocular perforation with the microkeratome. Three (13%) had photoablation-related complications. Postoperative complications included three (13%) cases of infections, four (17%) stromal-interface related problems, one (5%) who developed interface vascularization, and one (5%) with non-ischemic central retinal vein occlusion. CONCLUSIONS. Although LASIK is a safe and effective procedure, a small number of patients may suffer serious complications that can even lead to visual loss. The procedure must be carefully performed by qualified surgeons.

Original languageEnglish (US)
Pages (from-to)139-146
Number of pages8
JournalEuropean Journal of Ophthalmology
Volume13
Issue number2
StatePublished - Mar 2003
Externally publishedYes

Keywords

  • Automated lamellar keratectomy (ALK)
  • Cornea
  • Excimer laser
  • Laser in situ keratomileusis (LASIK)
  • Myopia

ASJC Scopus subject areas

  • Ophthalmology

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