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Beyond the First Cut: Evaluating LASIK Reoperation Trends.

Rajesh Subhash Joshi1, Harsha Singh1, Riya Rajesh Joshi2

  • 1Department of Ophthalmology, Government Medical College, Nagpur, Maharashtra, India.

Romanian Journal of Ophthalmology
|November 5, 2025
PubMed
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Oman journal of ophthalmology·2024

Laser-assisted in situ keratomileusis (LASIK) reoperation rates were 3.12%, primarily due to flap complications and refractive errors. Addressing these factors and adopting new technologies can enhance LASIK outcomes.

Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Corneal Surgery

Background:

  • Laser-assisted in situ keratomileusis (LASIK) is a common refractive surgery.
  • Reoperation rates and causes after LASIK require ongoing evaluation to improve patient outcomes.

Purpose of the Study:

  • To determine the reoperation rate following LASIK.
  • To identify factors necessitating retreatment after LASIK surgery.

Main Methods:

  • A retrospective study analyzed 288 eyes undergoing LASIK between June 2020 and April 2023.
  • Data included demographic information and reasons for reoperation, such as flap complications and refractive correction issues.

Main Results:

  • The reoperation rate was 3.12% (9 out of 288 eyes).
Keywords:
DLK = Diffuse lamellar keratitisLASIK = Laser-assisted in situ keratomileusisSMILE = small incision lenticule extractionflap striaelaser-assisted in situ keratomileusisphotorefractive keratectomyrefractive surgery complications

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  • Common reasons for reoperation included dislodged corneal flaps (1.04%), flap striae correction (0.69%), diffuse lamellar keratitis (0.69%), and over/under-correction (0.35% each).
  • While most reoperations involved males, no significant gender difference in rates was found.

    • Conclusions:

    • Flap-related issues and refractive errors are key drivers of LASIK reoperations.
    • Improving patient outcomes necessitates addressing these complications and exploring advancements in refractive surgery techniques.