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Laser in situ keratomileusis: three unexpected complications
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|April 24, 2001
Summary
Unexpected outcomes can occur after laser in situ keratomileusis (LASIK) surgery, even when performed with advanced equipment. Careful patient selection and monitoring are crucial for managing refractive surgery results.
Area of Science:
- Ophthalmology
- Refractive Surgery
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery procedure.
- The Nidek EC-5000 excimer laser and Hansatome microkeratome are standard surgical tools.
Observation:
- Three patients experienced unexpected visual outcomes following LASIK.
- These outcomes included a central island, under/overcorrection, and significant hyperopic shift.
Findings:
- Despite uneventful procedures and controlled variables, LASIK can yield unpredictable results.
- Individual patient responses to refractive surgery can vary significantly.
Implications:
- These cases highlight the importance of thorough pre-operative assessment and post-operative follow-up.
- Further research may be needed to understand and mitigate rare adverse events in LASIK.

