Outcome of second surgery in LASIK cases aborted due to flap complications

Nada S. Jabbur, Elliott H Myrowitz, Jeffrey L. Wexler, Terrence P. O'Brien

Research output: Contribution to journalArticle

Abstract

Purpose: To describe the technique and timing of second refractive surgery after aborted laser in situ keratomileusis (LASIK) due to intraoperative flap complication and determine the final visual outcome. Setting: Outpatient ambulatory laser vision correction centers. Methods: This retrospective noncomparative case series included 16 patients (16 eyes) who had a second refractive surgery after initial LASIK surgery was aborted because of a flap complication. Charts were reviewed with attention to initial preoperative data, intraoperative details of the aborted LASIK, postoperative examination, possible causes of the flap complication, timing and technique of second refractive surgery, and final visual outcome. Results: Causes of the aborted LASIK were identified in 13 of 16 eyes (81.2%) and included eye squeezing (5 eyes), loss of suction or machine failure (5 eyes), steep corneas (2 eyes), and learning curve of the surgeon (1 eye). The mean time until the second surgery was 135 days (range 49 to 372 days). Repeat flaps were created deeper and larger than the initially attempted flaps when possible. No patient had a final uncorrected visual acuity (UCVA) worse than 20/30 after the second surgery. Two eyes (12.5%) lost 1 line of best spectacle-corrected visual acuity. Conclusion: A planned delayed reoperation after sufficient corneal healing following an intraoperative flap complication can result in satisfactory recovery of UCVA.

Original languageEnglish (US)
Pages (from-to)993-999
Number of pages7
JournalJournal of Cataract and Refractive Surgery
Volume30
Issue number5
DOIs
StatePublished - May 2004

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Laser In Situ Keratomileusis
Refractive Surgical Procedures
Visual Acuity
Intraoperative Complications
Learning Curve
Suction
Reoperation
Cornea
Lasers
Outpatients

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Outcome of second surgery in LASIK cases aborted due to flap complications. / Jabbur, Nada S.; Myrowitz, Elliott H; Wexler, Jeffrey L.; O'Brien, Terrence P.

In: Journal of Cataract and Refractive Surgery, Vol. 30, No. 5, 05.2004, p. 993-999.

Research output: Contribution to journalArticle

Jabbur, Nada S. ; Myrowitz, Elliott H ; Wexler, Jeffrey L. ; O'Brien, Terrence P. / Outcome of second surgery in LASIK cases aborted due to flap complications. In: Journal of Cataract and Refractive Surgery. 2004 ; Vol. 30, No. 5. pp. 993-999.
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