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Laser epithelial keratomileusis in 2010 - a review
Michael O'Keefe1, Caitriona Kirwan
1Department of Refractive Surgery, Mater Private Hospital, Dublin, Ireland. mokeefe@materprivate.ie
Clinical & Experimental Ophthalmology
|April 20, 2010
Summary
Laser epithelial keratomileusis (LASEK) is a refractive surgery option with unique complications and considerations. Patients require careful management for intraocular pressure, cataract surgery calculations, and ongoing challenges in wound healing and pain management.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Corneal Surgery
Background:
- Photorefractive keratectomy (PRK), laser epithelial keratomileusis (LASEK), and Epi-LASIK are surface ablation techniques.
- Laser epithelial keratomileusis (LASEK) is an alternative to the more common laser in situ keratomileusis (LASIK).
Purpose of the Study:
- To highlight potential complications associated with LASEK.
- To discuss the management strategies for these complications.
- To review implications of LASEK for future eye care.
Main Methods:
- Review of potential complications in LASEK.
- Discussion of management strategies for post-LASEK complications.
- Analysis of implications for intraocular pressure measurement, glaucoma screening, and cataract surgery calculations.
Main Results:
- LASEK may lead to complications requiring specific management.
- Reduced corneal thickness post-LASEK impacts intraocular pressure measurement and glaucoma screening.
- Accurate preoperative data is crucial for future cataract surgery calculations.
- LASEK patients may have a lower risk of corneal ectasia compared to LASIK patients.
Conclusions:
- LASEK is a viable refractive surgery option with specific considerations.
- Effective management of LASEK complications and long-term implications is essential.
- Further research into wound healing and pain management post-LASEK is needed.
