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



Results 1d postoperative ucva
RESULTS:1D POSTOPERATIVE UCVA

ETDRS LETTERS


Results 1 month visual acuities
RESULTS:1 MONTH VISUAL ACUITIES

ETDRS LETTERS


Results preoperative vs postoperative ucvas
RESULTS:PREOPERATIVE VS. POSTOPERATIVE UCVAs

ETDRS LETTERS


Results preoperative vs postoperative bscvas
RESULTS:PREOPERATIVE VS. POSTOPERATIVE BSCVAs

ETDRS LETTERS


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