Flap lift and repair of postoperative laser in situ keratomileusis complications at the slitlamp

Richard S. Koplin, David C. Ritterband, Olivia L. Lee, John A. Seedor

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

We describe a technique to treat flap complications after laser in situ keratomileusis while seated at the slitlamp biomicroscope. After topical anesthesia is applied to the cornea, a blunt corneal spatula is used to reflect the flap only to the extent necessary for epithelial debridement. A corneal rake or spatula is then used to remove retained epithelial cells from the stromal bed and underside of the flap. The epithelium is then debrided 1.0 mm to 2.0 mm outside the flap gutter. The increased depth perception with a slit beam greatly improves visualization and identification of the presence of residual epithelial cells or leftover debris after scraping. The slit beam also aids in proper repositioning of the flap after the procedure. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.

Original languageEnglish
Pages (from-to)1069-1072
Number of pages4
JournalJournal of Cataract and Refractive Surgery
Volume36
Issue number7
DOIs
StatePublished - Jul 2010
Externally publishedYes

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