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    Early surface ablation after an aborted femtosecond laser-assisted in situ keratomileusis (FS-LASIK) procedure offers good visual outcomes. This approach is safe and effective for patients needing a secondary treatment shortly after an initial laser eye surgery complication.

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    Area of Science:

    • Ophthalmology
    • Refractive Surgery
    • Corneal Surgery

    Background:

    • Femtosecond laser-assisted in situ keratomileusis (FS-LASIK) is a common refractive surgery.
    • Complications such as incomplete or decentered flaps can lead to procedure abortion.
    • Secondary treatments may be necessary following aborted FS-LASIK procedures.

    Purpose of the Study:

    • To evaluate the outcomes of secondary surface ablation performed within four weeks of an aborted FS-LASIK procedure.
    • To assess the visual acuity and safety of early retreatment after FS-LASIK complications.

    Main Methods:

    • Retrospective chart review of electronic medical records from 2011-2015.
    • Identification of patients with aborted FS-LASIK followed by surface ablation (PRK or LEK) within four weeks.
    • Inclusion criteria required at least three postoperative visits.

    Main Results:

    • 16 eyes met inclusion criteria from 20 aborted FS-LASIK procedures (0.003%).
    • Common reasons for abortion were incomplete (10) and decentered (3) flaps.
    • 11/16 eyes achieved 20/20 uncorrected distance visual acuity (UDVA); 15/16 had 20/20 corrected distance visual acuity (CDVA).
    • No intraoperative complications or diffuse lamellar keratitis were reported; one case of postoperative haze occurred.

    Conclusions:

    • Early surface ablation within four weeks after an aborted FS-LASIK procedure can yield good visual outcomes.
    • This secondary treatment approach appears safe and effective for managing FS-LASIK complications.
    • The study supports timely intervention for patients experiencing initial refractive surgery setbacks.