scholarly journals Rescue of Primary Incomplete Microkeratome Flap with Secondary Femtosecond Laser Flap in LASIK

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
E. A. Razgulyaeva

For laser-assisted in situ keratomileusis (LASIK) retreatments with a previous unsuccessful mechanical microkeratome-assisted surgery, some surgical protocols have been described as feasible, such as relifting of the flap or the creation of a new flap and even the change to a surface ablation procedure (photorefractive keratectomy (PRK)). This case shows the use of femtosecond technology for the creation of a secondary flap to perform LASIK in a cornea with a primary incomplete flap obtained with a mechanical microkeratome. As we were unable to characterize the interface of the first partial lamellar cut, a thick flap was planned and created using a femtosecond laser platform. As the primary cut was very thick in the nasal quadrant, a piece of loose corneal tissue appeared during flap lifting which was fitted in its position and not removed. Despite this condition and considering the regularity of the new femtosecond laser cut, the treatment was uneventful. This case report shows the relevance of a detailed corneal analysis with an advanced imaging technique before performing a secondary flap in a cornea with a primary incomplete flap. The femtosecond laser technology seems to be an excellent tool to manage such cases successfully.

2010 ◽  
Vol 04 (01) ◽  
pp. 40
Author(s):  
Anastasios John Kanellopoulos ◽  

Laser-assistedin situkeratomileusis (LASIK) involves the creation of a corneal flap and remodelling of the corneal stroma. This conventionally used a mechanical microkeratome but these devices are associated with variations in the flaps produced. The development of femtosecond excimer laser technology over the past 10 years has markedly improved the safety and efficiency of flap cutting during LASIK and provides superior performance. The Wavelight® FS200 laser is a recent development in femtosecond laser systems. This instrument is calibrated when switched on and prior to application of the applanation cone to the cornea surface, ensuring consistency in flap cutting. The Wavelight FS200 laser has a rapid firing speed that reduces the energy requirement, makes flap lifting easier, reduces procedure time and improves patient comfort. The system also provides consistency of flap diameter and thickness and allows for individualisation of flap morphology based on the patient’s condition. This article discusses clinical experience with the Wavelight FS200 laser for flap cutting in LASIK surgery.


2014 ◽  
Vol 08 (01) ◽  
pp. 37
Author(s):  
Duna A Raoof ◽  
Roni M Shtein ◽  
◽  

The use of the femtosecond laser in ophthalmic surgery over the last decade has resulted in the development of innovative procedures. The ultra-short infrared laser pulses of the femtosecond laser can be applied precisely and predictably with minimal collateral tissue damage, making it an ideal tool for highly precise ophthalmic surgery. Flap creation in laserin situkeratomileusis (LASIK) is the most common use of this laser. It can also be used for other corneal refractive procedures, lamellar and full-thickness corneal transplantation and cataract surgery. This article summarises recent advanced applying femtosecond laser technology in ophthalmology.


2013 ◽  
Vol 39 (9) ◽  
pp. 1366-1371 ◽  
Author(s):  
George D. Kymionis ◽  
George A. Kontadakis ◽  
Michael A. Grentzelos ◽  
Sophia I. Panagopoulou ◽  
Nela Stojanovic ◽  
...  

2014 ◽  
Vol 5 (3) ◽  
pp. 423-428 ◽  
Author(s):  
Iraklis Vastardis ◽  
Zisis Gatzioufas ◽  
Brigitte Eggspühler Pajic ◽  
Jörg Müller ◽  
Bojan Pajic

2013 ◽  
Vol 06 (01) ◽  
pp. 38 ◽  
Author(s):  
Duna Raoof-Daneshvar ◽  
Roni M Shtein ◽  
◽  

The use of the femtosecond laser in ophthalmic surgery over the last decade has resulted in the development of innovative procedures. The ultra-short infrared laser pulses of the femtosecond laser can be applied precisely and predictably with minimal collateral tissue damage, making it an ideal tool for highly precise ophthalmic surgery. Flap creation in laserin situkeratomileusis (LASIK) is the most common use of this laser. It can also be used for other corneal refractive procedures, lamellar and full-thickness corneal transplantation, and cataract surgery. This article summarizes recent advanced applying femtosecond laser technology in ophthalmology.


2018 ◽  
Vol 2 (2) ◽  
pp. 136-141
Author(s):  
Leart Berdica ◽  
Teona Bushati ◽  
Alfred Aga ◽  
Erisa Kola ◽  
Rustem Celami ◽  
...  

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