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marcos garcia, Breno Barth, Walton Nosé, Breno Azevedo, Gustavo Victor, Milton Alves; Microkeratome-related complications in the first 10,000 lasik. Invest. Ophthalmol. Vis. Sci. 2013;54(15):3143. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the incidence of microkeratome-related complications in making corneal flap in the first 10,000 surgeries performed by the same surgeon
A series of cases of intervention, involving 5,387 patients (10,000 eyes) underwent LASIK surgery by the same surgeon between June 1998 and March 2010, at the same place and equipment. Patients who had complications related to the microkeratome were selected for the study. The incidence of complications related to making the corneal flap was calculated, as well as the incidences of these complications in each1000 surgeries
In 10,000 surgeries, there were 53 complications that led to discontinuation of the LASIK procedure (0.53%). The incidence of complications with the microkeratome was 1 in 188.6 surgeries (0.53%). In early 1000 the incidence of surgical complications was 1 in 83.3 surgeries (1.2%). And the surgery number 6001-10000, the incidence of complication was 1 in 289.9 surgeries (0.36%)
This study shows that there is a learning curve for using the microkeratome and the incidence of complications associated with making the corneal flap decreases as the surgeon gains more experience. Complications were more frequent in the first 1000 surgeries (1.2%), decreasing considerably and progressively thereafter
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