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Laser in situ keratomileusis flap suturing to treat recalcitrant flap striae
David W Jackson1, M Bowes Hamill, Douglas D Koch
1Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas 77030, USA.
Purpose:
To describe the management of resistant laser in situ keratomileusis (LASIK) flap striae using interrupted sutures.
Setting:
Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA.
Methods:
Interrupted sutures were used to treat striae in the LASIK flaps in 7 eyes of 7 patients. The mean interval from LASIK to the time of suturing was 11.8 months (range 3.0 to 29.0 months). The preoperative best spectacle-corrected visual acuity (BSCVA) was 20/20(-2) to 20/100. All patients had subjective visual complaints with spectacle correction, and all corneas had obvious macrostriae on slitlamp biomicroscopic examination.
Results:
The mean patient follow-up was 7.0 months (range 1.5 to 14.0 months). Six patients regained a BSCVA of 20/20 or better with resolution of preoperative irregular astigmatism and subjective visual disturbance. In 1 patient, mild central striae recurred.
Conclusion:
Flap suturing was an effective means of treating visually significant flap striae.
