Redo surgery using IntraLase femtosecond laser for treating a decentered laser in situ keratomileusis flap

Objective Decentered flaps are rarely reported after femtosecond laser-assisted in situ keratomileusis flap procedures. We present a patient with a decentered flap after preparation of a corneal flap using the Femto LDV technique. Methods The 22-year-old man required a redo operation because of a de...

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Main Authors: Yulin Lei, Jie Hou, Xiuyun Zheng
Format: Article
Language:English
Published: SAGE Publishing 2018-02-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060517718989
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author Yulin Lei
Jie Hou
Xiuyun Zheng
author_facet Yulin Lei
Jie Hou
Xiuyun Zheng
author_sort Yulin Lei
collection DOAJ
description Objective Decentered flaps are rarely reported after femtosecond laser-assisted in situ keratomileusis flap procedures. We present a patient with a decentered flap after preparation of a corneal flap using the Femto LDV technique. Methods The 22-year-old man required a redo operation because of a decentered corneal flap. It was performed the same day at the patient's insistence and with his consent. The new corneal flap for the redo surgery was prepared using the femtosecond laser technique and IntraLase. Results Uncorrected visual acuity for each eye was 1.2 during the 12-month follow-up. The results of the Femtosecond laser technique showed good predictability and repeatability regarding the preparation of corneal flaps, but it still may cause some intraoperative complications. Conclusion Once redo surgery is needed, the size and depth of the initially prepared flap should be determined using anterior segment optical coherence tomography to pre-set the parameters for preparation of the redo flap.
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spelling doaj.art-8be0e5d7fa3c4e6bb7e1b6f010438a1d2022-12-21T22:42:08ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002018-02-014610.1177/0300060517718989Redo surgery using IntraLase femtosecond laser for treating a decentered laser in situ keratomileusis flapYulin LeiJie HouXiuyun ZhengObjective Decentered flaps are rarely reported after femtosecond laser-assisted in situ keratomileusis flap procedures. We present a patient with a decentered flap after preparation of a corneal flap using the Femto LDV technique. Methods The 22-year-old man required a redo operation because of a decentered corneal flap. It was performed the same day at the patient's insistence and with his consent. The new corneal flap for the redo surgery was prepared using the femtosecond laser technique and IntraLase. Results Uncorrected visual acuity for each eye was 1.2 during the 12-month follow-up. The results of the Femtosecond laser technique showed good predictability and repeatability regarding the preparation of corneal flaps, but it still may cause some intraoperative complications. Conclusion Once redo surgery is needed, the size and depth of the initially prepared flap should be determined using anterior segment optical coherence tomography to pre-set the parameters for preparation of the redo flap.https://doi.org/10.1177/0300060517718989
spellingShingle Yulin Lei
Jie Hou
Xiuyun Zheng
Redo surgery using IntraLase femtosecond laser for treating a decentered laser in situ keratomileusis flap
Journal of International Medical Research
title Redo surgery using IntraLase femtosecond laser for treating a decentered laser in situ keratomileusis flap
title_full Redo surgery using IntraLase femtosecond laser for treating a decentered laser in situ keratomileusis flap
title_fullStr Redo surgery using IntraLase femtosecond laser for treating a decentered laser in situ keratomileusis flap
title_full_unstemmed Redo surgery using IntraLase femtosecond laser for treating a decentered laser in situ keratomileusis flap
title_short Redo surgery using IntraLase femtosecond laser for treating a decentered laser in situ keratomileusis flap
title_sort redo surgery using intralase femtosecond laser for treating a decentered laser in situ keratomileusis flap
url https://doi.org/10.1177/0300060517718989
work_keys_str_mv AT yulinlei redosurgeryusingintralasefemtosecondlaserfortreatingadecenteredlaserinsitukeratomileusisflap
AT jiehou redosurgeryusingintralasefemtosecondlaserfortreatingadecenteredlaserinsitukeratomileusisflap
AT xiuyunzheng redosurgeryusingintralasefemtosecondlaserfortreatingadecenteredlaserinsitukeratomileusisflap