when femto flaps go bad outcomes of femtosecond lasik flap complications
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When Femto Flaps Go Bad: Outcomes of Femtosecond LASIK Flap Complications

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When Femto Flaps Go Bad: Outcomes of Femtosecond LASIK Flap Complications. Vasudha Panday, MD 1 , Niraj Desai, MD 2 , Sanford Roberts, MD 1 , Robert Lyons, MD 1 , Charles Reilly, MD 1 The authors have no financial interest to disclose. Wilford Hall Medical Center 1

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when femto flaps go bad outcomes of femtosecond lasik flap complications

When Femto Flaps Go Bad:Outcomes of Femtosecond LASIK Flap Complications

Vasudha Panday, MD1 ,Niraj Desai, MD2 , Sanford Roberts, MD1, Robert Lyons, MD1 , Charles Reilly, MD1

The authors have no financial interest to disclose.

Wilford Hall Medical Center 1

University of Texas Health Sciences Center at San Antonio 2

purpose
PURPOSE
  • To evaluate the impact on visual outcome of Femtosecond LASIK flap complications
  • Retrospective review
  • Compared to uncomplicated Femtosecond LASIK flaps
methods
METHODS
  • Retrospective case series
    • 586 eyes of 293 patients
    • Four surgeons
    • All femtosecond LASIK
    • All surgeries at Joint Warfighter Refractive Surgery Center at Lackland AFB, TX
  • Endpoint at one month
  • ETDRS testing
  • Data analysis using paired t-test
methods1
METHODS
  • Types of complications (no surgical intervention required)
    • Diffuse lamellar keratitis
    • Microstriae
    • Flap tears
    • Incomplete side cut
    • Epithelial ingrowth
  • Compared to uncomplicated femtosecond LASIK eyes
conclusions
CONCLUSIONS
  • No statistically significant difference was observed in BSCVA among the group of patients with abnormalities in their flaps compared to normals
  • The overall incidence of intraoperative complications in femtosecond laser flap creation is exceedingly low at 1.02% in this series
conclusions1
CONCLUSIONS
  • The overall incidence of postoperative flap complications is low at 7.16% and ultimately visually insignificant
  • All patients, regardless of complication, had comparable post operative BSCVA to preoperative BSCVA
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