Experience during the learning curve of laser in situ keratomileusis
- 1 June 1996
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Cataract & Refractive Surgery
- Vol. 22 (5), 542-550
- https://doi.org/10.1016/s0886-3350(96)80006-x
Abstract
Purpose: To identify pitfalls and offer hints on achieving a successful outcome during the early laser in situ keratomileusis (LASIK) learning process. Setting: Gimbel Eye Centre, Calgary, Alberta, Canada. Methods: This was a retrospective review of the preoperative planning, surgical procedure, intraoperative and postoperative problems, and early postoperative anatomic and refractive results in the first 73 eyes that had LASIK. Results: Intraoperative complications included failure of the keratome to make a cut, excessively thin cap, repositioning difficulty, and inadequate intraocular pressure elevation. Early postoperative complications included excessive central and peripheral wrinkling of the cap, peripheral lipid deposits, and central edema of the cap. One month postoperatively, mean spherical equivalent refraction was -0.90 diopters (D) (range +1.75 to -6.00 D), and 45 eyes had a best corrected visual acuity between 20/15 and 20/40. Conclusion: Our retrospective review of the problems experienced during the early LASIK learning process should help novice lamellar refractive surgeons avoid such problems and shorten the learning curve.Keywords
This publication has 8 references indexed in Scilit:
- Six-month results of the Multicenter Phase I Study of Excimer Laser Myopic KeratomileusisJournal of Cataract & Refractive Surgery, 1994
- Displacement of Corneal Lenticule After Automated Lamellar KeratoplastyAmerican Journal of Ophthalmology, 1994
- Clear-Lens Extraction for High MyopiaAmerican Journal of Ophthalmology, 1994
- Excimer Laser Photorefractive KeratectomyOphthalmology, 1992
- Excimer laser intrastromal keratomileusis: Case reportsJournal of Cataract & Refractive Surgery, 1992
- A Corneal Flap Technique for Laser In Situ KeratomileusisAmerican Journal of Ophthalmology, 1991
- Myopic Photorefractive Keratectomy with the Excimer LaserOphthalmology, 1991
- Clear Lens Extraction for Axial MyopiaOphthalmology, 1987