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Epi-LASIK after amputation of a LASIK flap
1Zentrum fuer Refraktive Chirurgie Muenster, Muenster, Germany. taneri@refraktives-zentrum.de
Purpose:
To demonstrate the feasibility of performing epi-LASIK after amputation of a LASIK flap.
Methods:
Three months following complicated primary LASIK and immediate flap amputation, a Lasitome microkeratome (Gebauer, Neuhausen, Germany), equipped with an epi-head and -blade, was used to perform an epi-LASIK surface ablation.
Results:
Despite uneven stromal contour at the site of the original hinge after amputation of the LASIK flap, the microkeratome passage was uneventful, resulting in a regular epithelial flap. Laser ablation was performed and the epithelial flap was repositioned.
Conclusions:
Epi-LASIK was completed with no intraoperative complication in the presence of an irregular stromal surface after amputation of a LASIK flap. This procedure may extend our options in the management of LASIK flap-related complications.
