Intraoperative flap complications in lasik surgery performed by ophthalmology residents
Purpose: To report the rate of flap-related complications in LASIK surgery performed by in-training ophthalmology residents and to analyze the risk factors for these complications. Methods: We analyzed 273 flap dissections in 145 patients from March 2013 to February 2014. We included all LASIK surge...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Knowledge E
2016-01-01
|
| Series: | Journal of Ophthalmic & Vision Research |
| Subjects: | |
| Online Access: | http://www.jovr.org/article.asp?issn=2008-322X;year=2016;volume=11;issue=3;spage=263;epage=267;aulast=Romero-Diaz-de-Leon |
| _version_ | 1811333605560942592 |
|---|---|
| author | Lorena Romero-Diaz-de-Leon Juan Carlos Serna-Ojeda Alejandro Navas Enrique O Graue-Hernández Arturo Ramirez-Miranda |
| author_facet | Lorena Romero-Diaz-de-Leon Juan Carlos Serna-Ojeda Alejandro Navas Enrique O Graue-Hernández Arturo Ramirez-Miranda |
| author_sort | Lorena Romero-Diaz-de-Leon |
| collection | DOAJ |
| description | Purpose: To report the rate of flap-related complications in LASIK surgery performed by in-training ophthalmology residents and to analyze the risk factors for these complications.
Methods: We analyzed 273 flap dissections in 145 patients from March 2013 to February 2014. We included all LASIK surgeries performed by 32 ophthalmology residents using a Moria M2 microkeratome. All the flap-related complications were noted. Comparison between both groups with and without complications was performed with an independent Student's t-test and relative risks were calculated.
Results: There were 19 flap-related complications out of the 273 flap dissections (6.95%). The most common complication was incomplete flap dissection (n = 10; 3.66%), followed by free-cap (n = 5; 1.83%), and flap-buttonhole (n = 2; 0.73%). There was no significant difference between the complicated and uncomplicated cases in terms of the right versus the left eye, pachymetry results, white-to-white diameter, and spherical equivalent. But this difference was significant for mean keratometry (P = 0.008), K-min (P = 0.01), and K-max (P = 0.03) between these groups. Final visual acuity after rescheduling laser treatment was similar in both groups. Relative risks for flap-related complications were 2.03 for the first LASIK surgery (CI 95% 0.64 to 6.48; P = 0.22) and 1.26 (CI 95% 0.43 to 3.69; P = 0.66) for the surgeon's flap-related complications. Female gender presented an odds ratio of 2.48 (CI 95% 0.68 to 9.00; P = 0.16) for complications.
Conclusion: Flap-related complications are common intraoperative event during LASIK surgery performed by in-training ophthalmologists. Keratometries and surgeon's first procedure represent a higher probability for flap related complications than some other biometric parameters of patient's eye. |
| first_indexed | 2024-04-13T16:54:14Z |
| format | Article |
| id | doaj.art-cb9327f9cc6a45479fc14f94342af241 |
| institution | Directory Open Access Journal |
| issn | 2008-322X |
| language | English |
| last_indexed | 2024-04-13T16:54:14Z |
| publishDate | 2016-01-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Journal of Ophthalmic & Vision Research |
| spelling | doaj.art-cb9327f9cc6a45479fc14f94342af2412022-12-22T02:38:51ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2016-01-0111326326710.4103/2008-322X.188393Intraoperative flap complications in lasik surgery performed by ophthalmology residentsLorena Romero-Diaz-de-LeonJuan Carlos Serna-OjedaAlejandro NavasEnrique O Graue-HernándezArturo Ramirez-MirandaPurpose: To report the rate of flap-related complications in LASIK surgery performed by in-training ophthalmology residents and to analyze the risk factors for these complications. Methods: We analyzed 273 flap dissections in 145 patients from March 2013 to February 2014. We included all LASIK surgeries performed by 32 ophthalmology residents using a Moria M2 microkeratome. All the flap-related complications were noted. Comparison between both groups with and without complications was performed with an independent Student's t-test and relative risks were calculated. Results: There were 19 flap-related complications out of the 273 flap dissections (6.95%). The most common complication was incomplete flap dissection (n = 10; 3.66%), followed by free-cap (n = 5; 1.83%), and flap-buttonhole (n = 2; 0.73%). There was no significant difference between the complicated and uncomplicated cases in terms of the right versus the left eye, pachymetry results, white-to-white diameter, and spherical equivalent. But this difference was significant for mean keratometry (P = 0.008), K-min (P = 0.01), and K-max (P = 0.03) between these groups. Final visual acuity after rescheduling laser treatment was similar in both groups. Relative risks for flap-related complications were 2.03 for the first LASIK surgery (CI 95% 0.64 to 6.48; P = 0.22) and 1.26 (CI 95% 0.43 to 3.69; P = 0.66) for the surgeon's flap-related complications. Female gender presented an odds ratio of 2.48 (CI 95% 0.68 to 9.00; P = 0.16) for complications. Conclusion: Flap-related complications are common intraoperative event during LASIK surgery performed by in-training ophthalmologists. Keratometries and surgeon's first procedure represent a higher probability for flap related complications than some other biometric parameters of patient's eye.http://www.jovr.org/article.asp?issn=2008-322X;year=2016;volume=11;issue=3;spage=263;epage=267;aulast=Romero-Diaz-de-LeonLaser in situ keratomileusis; Intraoperative Complications; Academic Training; Refractive Surgery |
| spellingShingle | Lorena Romero-Diaz-de-Leon Juan Carlos Serna-Ojeda Alejandro Navas Enrique O Graue-Hernández Arturo Ramirez-Miranda Intraoperative flap complications in lasik surgery performed by ophthalmology residents Journal of Ophthalmic & Vision Research Laser in situ keratomileusis; Intraoperative Complications; Academic Training; Refractive Surgery |
| title | Intraoperative flap complications in lasik surgery performed by ophthalmology residents |
| title_full | Intraoperative flap complications in lasik surgery performed by ophthalmology residents |
| title_fullStr | Intraoperative flap complications in lasik surgery performed by ophthalmology residents |
| title_full_unstemmed | Intraoperative flap complications in lasik surgery performed by ophthalmology residents |
| title_short | Intraoperative flap complications in lasik surgery performed by ophthalmology residents |
| title_sort | intraoperative flap complications in lasik surgery performed by ophthalmology residents |
| topic | Laser in situ keratomileusis; Intraoperative Complications; Academic Training; Refractive Surgery |
| url | http://www.jovr.org/article.asp?issn=2008-322X;year=2016;volume=11;issue=3;spage=263;epage=267;aulast=Romero-Diaz-de-Leon |
| work_keys_str_mv | AT lorenaromerodiazdeleon intraoperativeflapcomplicationsinlasiksurgeryperformedbyophthalmologyresidents AT juancarlossernaojeda intraoperativeflapcomplicationsinlasiksurgeryperformedbyophthalmologyresidents AT alejandronavas intraoperativeflapcomplicationsinlasiksurgeryperformedbyophthalmologyresidents AT enriqueograuehernandez intraoperativeflapcomplicationsinlasiksurgeryperformedbyophthalmologyresidents AT arturoramirezmiranda intraoperativeflapcomplicationsinlasiksurgeryperformedbyophthalmologyresidents |