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Outcomes of Flap Amputation After Laser In Situ Keratomileusis
Clara M Castillejo Becerra1, Leo J Maguire1, Diva R Salomao1,2
1Department of Ophthalmology, Mayo Clinic, Rochester, MN; and.
Cornea
|November 28, 2023
Summary
Laser vision correction (LASIK) flap amputation is a necessary procedure for serious corneal conditions. While outcomes are often excellent, further interventions or specialized contact lenses may be required.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Refractive Surgery
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Complications can necessitate further surgical intervention.
- Flap amputation is a procedure to manage severe LASIK-related issues.
Purpose of the Study:
- To detail the reasons for and results of LASIK flap amputation.
- To analyze outcomes in a tertiary care setting.
Main Methods:
- Retrospective review of medical records.
- Analysis of 15 patients undergoing LASIK flap amputation between 1998 and 2023.
- Assessment of indications, interventions, and visual acuity.
Main Results:
- Common indications included epithelial ingrowth and infectious keratitis (40% each).
- Final visual acuity was often good (median 20/25), but infectious cases had poorer outcomes.
- Subsequent procedures ranged from keratoplasty to rigid contact lens wear.
Conclusions:
- LASIK flap amputation is crucial for managing sight-threatening corneal diseases post-LASIK.
- Most patients achieve good visual results, though additional treatments are sometimes needed.
