May 2003
Volume 44, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2003
Outcomes After Laser In Situ Keratomileusis (Lasik) Requiring Surgical Intervention
Author Affiliations & Notes
  • B.K. Ambati
    Ophthalmology, Duke Eye Center, Durham, NC, United States
  • G.J. Hu
    Ophthalmology, UCLA-Jules Stein Eye Institute, Los Angeles, CA, United States
  • J. Ambati
    Ophthalmology, University of Kentucky, Lexington, KY, United States
  • T. Kim
    Ophthalmology, University of Kentucky, Lexington, KY, United States
  • A.N. Carlson
    Ophthalmology, University of Kentucky, Lexington, KY, United States
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 2597. doi:
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    • Get Citation

      B.K. Ambati, G.J. Hu, J. Ambati, T. Kim, A.N. Carlson; Outcomes After Laser In Situ Keratomileusis (Lasik) Requiring Surgical Intervention . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2597.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose: To report the visual outcomes after complications of laser in situ keratomileusis (LASIK) that required surgical intervention. Methods: A retrospective consecutive review was performed on 4,051 eyes of 1726 patients who underwent LASIK from January 1998 to August 2001 at an Institutional practice in a tertiary care eye center with a freestanding refractive surgical center. After primary LASIK and routine enhancement 31 eyes of 30 patients required 43 surgical procedures. Primary outcome measures were uncorrected and best-corrected visual acuity. Results: The mean age (± SEM) of the 30 patients who required surgical intervention for complications after LASIK was 46.3 ± 2.1 years. Eight eyes had had routine enhancement. Among 31 eyes that had surgical intervention for complications after primary LASIK and/or routine LASIK enhancement, corneal flap elevation and irrigation were required in 11 eyes for corneal striae, 7 eyes for diffuse lamellar keratitis, 18 eyes for debridement of epithelial ingrowth, and 5 for flap positioning and/or striae. There was no significant difference between mean preoperative and postoperative BCVA for all patients or any subgroup, and mean postoperative UCVA was 1 line worse (20/25) than mean preoperative BCVA (20/20) (p=0.01). Conclusions: Following primary LASIK and routine LASIK enhancement procedures, complications requiring surgical intervention are uncommon. When such complications occur, proper surgical management generally provides a favorable prognosis with preservation of the preoperative level of BCVA as well as preservation of generally satisfactory UCVA.

Keywords: refractive surgery: complications • refractive surgery: LASIK • cornea: clinical science 
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