Inadvertent stromal dissection during mechanical separation of the corneal epithelium using an epikeratome

Jun Heon Kim, Chung Hoon Oh, Jong-Suk Song, Hyo Myung Kim

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Epithelial flap complications occurred in 2 patients during epithelial separation using a Centurion SES epikeratome (Norwood Eye Care) in epi-laser in situ keratomileusis (LASIK). The complications consisted of stromal dissection at the margin of the pupil and an epithelial free cap including the superficial stroma. The epithelial flaps were repositioned without laser ablation. Three months postoperatively, the best corrected visual acuity in both patients was 20/20 and neither complained of visual discomfort. Slitlamp biomicroscopic examination showed that both corneas were completely healed with trace opacity, and topographic examinations revealed that irregularities in the stromal cutting sites were decreased. The patients had successful photorefractive keratectomy after complete healing of the dissected stroma. Stromal dissection during mechanical separation of the epithelium with an epikeratome is a potential complication of the epi-LASIK procedure, but proper management can result in good recovery without severe visual impairment.

Original languageEnglish
Pages (from-to)1759-1763
Number of pages5
JournalJournal of Cataract and Refractive Surgery
Volume32
Issue number10
DOIs
Publication statusPublished - 2006 Oct 1

Fingerprint

Corneal Epithelium
Dissection
Laser In Situ Keratomileusis
Photorefractive Keratectomy
Vision Disorders
Laser Therapy
Pupil
Cornea
Visual Acuity
Epithelium

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Inadvertent stromal dissection during mechanical separation of the corneal epithelium using an epikeratome. / Kim, Jun Heon; Oh, Chung Hoon; Song, Jong-Suk; Kim, Hyo Myung.

In: Journal of Cataract and Refractive Surgery, Vol. 32, No. 10, 01.10.2006, p. 1759-1763.

Research output: Contribution to journalArticle

@article{f7c6e97bf7624bb780da3a2f383d35a3,
title = "Inadvertent stromal dissection during mechanical separation of the corneal epithelium using an epikeratome",
abstract = "Epithelial flap complications occurred in 2 patients during epithelial separation using a Centurion SES epikeratome (Norwood Eye Care) in epi-laser in situ keratomileusis (LASIK). The complications consisted of stromal dissection at the margin of the pupil and an epithelial free cap including the superficial stroma. The epithelial flaps were repositioned without laser ablation. Three months postoperatively, the best corrected visual acuity in both patients was 20/20 and neither complained of visual discomfort. Slitlamp biomicroscopic examination showed that both corneas were completely healed with trace opacity, and topographic examinations revealed that irregularities in the stromal cutting sites were decreased. The patients had successful photorefractive keratectomy after complete healing of the dissected stroma. Stromal dissection during mechanical separation of the epithelium with an epikeratome is a potential complication of the epi-LASIK procedure, but proper management can result in good recovery without severe visual impairment.",
author = "Kim, {Jun Heon} and Oh, {Chung Hoon} and Jong-Suk Song and Kim, {Hyo Myung}",
year = "2006",
month = "10",
day = "1",
doi = "10.1016/j.jcrs.2006.04.041",
language = "English",
volume = "32",
pages = "1759--1763",
journal = "Journal of Cataract and Refractive Surgery",
issn = "0886-3350",
publisher = "Elsevier Inc.",
number = "10",

}

TY - JOUR

T1 - Inadvertent stromal dissection during mechanical separation of the corneal epithelium using an epikeratome

AU - Kim, Jun Heon

AU - Oh, Chung Hoon

AU - Song, Jong-Suk

AU - Kim, Hyo Myung

PY - 2006/10/1

Y1 - 2006/10/1

N2 - Epithelial flap complications occurred in 2 patients during epithelial separation using a Centurion SES epikeratome (Norwood Eye Care) in epi-laser in situ keratomileusis (LASIK). The complications consisted of stromal dissection at the margin of the pupil and an epithelial free cap including the superficial stroma. The epithelial flaps were repositioned without laser ablation. Three months postoperatively, the best corrected visual acuity in both patients was 20/20 and neither complained of visual discomfort. Slitlamp biomicroscopic examination showed that both corneas were completely healed with trace opacity, and topographic examinations revealed that irregularities in the stromal cutting sites were decreased. The patients had successful photorefractive keratectomy after complete healing of the dissected stroma. Stromal dissection during mechanical separation of the epithelium with an epikeratome is a potential complication of the epi-LASIK procedure, but proper management can result in good recovery without severe visual impairment.

AB - Epithelial flap complications occurred in 2 patients during epithelial separation using a Centurion SES epikeratome (Norwood Eye Care) in epi-laser in situ keratomileusis (LASIK). The complications consisted of stromal dissection at the margin of the pupil and an epithelial free cap including the superficial stroma. The epithelial flaps were repositioned without laser ablation. Three months postoperatively, the best corrected visual acuity in both patients was 20/20 and neither complained of visual discomfort. Slitlamp biomicroscopic examination showed that both corneas were completely healed with trace opacity, and topographic examinations revealed that irregularities in the stromal cutting sites were decreased. The patients had successful photorefractive keratectomy after complete healing of the dissected stroma. Stromal dissection during mechanical separation of the epithelium with an epikeratome is a potential complication of the epi-LASIK procedure, but proper management can result in good recovery without severe visual impairment.

UR - http://www.scopus.com/inward/record.url?scp=33749148618&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33749148618&partnerID=8YFLogxK

U2 - 10.1016/j.jcrs.2006.04.041

DO - 10.1016/j.jcrs.2006.04.041

M3 - Article

VL - 32

SP - 1759

EP - 1763

JO - Journal of Cataract and Refractive Surgery

JF - Journal of Cataract and Refractive Surgery

SN - 0886-3350

IS - 10

ER -