To lift or recut: Changing trends in LASIK enhancement

Roy S. Rubinfeld; David R. Hardten; Eric D. Donnenfeld; Raymond M. Stein; Douglas D. Koch; Mark G. Speaker; Joseph Frucht-Pery; Anthony J. Kameen; Gerald J. Negvesky

doi:10.1016/j.jcrs.2003.08.013

To lift or recut: Changing trends in LASIK enhancement

Roy S. Rubinfeld, David R. Hardten, Eric D. Donnenfeld, Raymond M. Stein, Douglas D. Koch, Mark G. Speaker, Joseph Frucht-Pery, Anthony J. Kameen, Gerald J. Negvesky

Research output: Contribution to journal › Article › peer-review

32 Scopus citations

Abstract

Purpose: To report serious complications caused by recutting laser in situ keratomileusis (LASIK) flaps for enhancement and reconsider the current preferred method of LASIK enhancement. Setting: Multiple surgeon practices. Methods: This retrospective noncomparative nonconsecutive case series comprised LASIK patients in the private practices of 9 experienced refractive surgeons and those reported in a survey of refractive surgeons. Case histories, refractions, corneal topographies, slitlamp photographs, and measurements of uncorrected and best corrected (BCVA) visual acuity after recutting LASIK flaps were collected. Surveys of refractive surgeons and an analysis of changing practice trends among the authors and these surgeons were assessed. Results: In 12 cases, significant loss of BCVA and subjective visual difficulties resulted from recutting LASIK flaps. Most surveyed surgeons had changed their practice from recutting to lifting flaps even 9 to 10 years postoperatively with good results. Conclusion: Recutting flaps for enhancement should be avoided unless other alternatives are unavailable.

Original language	English
Pages (from-to)	2306-2317
Number of pages	12
Journal	Journal of Cataract and Refractive Surgery
Volume	29
Issue number	12
DOIs	https://doi.org/10.1016/j.jcrs.2003.08.013
State	Published - Dec 2003

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title = "To lift or recut: Changing trends in LASIK enhancement",

abstract = "Purpose: To report serious complications caused by recutting laser in situ keratomileusis (LASIK) flaps for enhancement and reconsider the current preferred method of LASIK enhancement. Setting: Multiple surgeon practices. Methods: This retrospective noncomparative nonconsecutive case series comprised LASIK patients in the private practices of 9 experienced refractive surgeons and those reported in a survey of refractive surgeons. Case histories, refractions, corneal topographies, slitlamp photographs, and measurements of uncorrected and best corrected (BCVA) visual acuity after recutting LASIK flaps were collected. Surveys of refractive surgeons and an analysis of changing practice trends among the authors and these surgeons were assessed. Results: In 12 cases, significant loss of BCVA and subjective visual difficulties resulted from recutting LASIK flaps. Most surveyed surgeons had changed their practice from recutting to lifting flaps even 9 to 10 years postoperatively with good results. Conclusion: Recutting flaps for enhancement should be avoided unless other alternatives are unavailable.",

author = "Rubinfeld, {Roy S.} and Hardten, {David R.} and Donnenfeld, {Eric D.} and Stein, {Raymond M.} and Koch, {Douglas D.} and Speaker, {Mark G.} and Joseph Frucht-Pery and Kameen, {Anthony J.} and Negvesky, {Gerald J.}",

year = "2003",

month = dec,

doi = "10.1016/j.jcrs.2003.08.013",

language = "English",

volume = "29",

pages = "2306--2317",

journal = "Journal of Cataract and Refractive Surgery",

issn = "0886-3350",

publisher = "Wolters Kluwer Health",

number = "12",

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T2 - Changing trends in LASIK enhancement

AU - Rubinfeld, Roy S.

AU - Hardten, David R.

AU - Donnenfeld, Eric D.

AU - Stein, Raymond M.

AU - Koch, Douglas D.

AU - Speaker, Mark G.

AU - Frucht-Pery, Joseph

AU - Kameen, Anthony J.

AU - Negvesky, Gerald J.

PY - 2003/12

Y1 - 2003/12

N2 - Purpose: To report serious complications caused by recutting laser in situ keratomileusis (LASIK) flaps for enhancement and reconsider the current preferred method of LASIK enhancement. Setting: Multiple surgeon practices. Methods: This retrospective noncomparative nonconsecutive case series comprised LASIK patients in the private practices of 9 experienced refractive surgeons and those reported in a survey of refractive surgeons. Case histories, refractions, corneal topographies, slitlamp photographs, and measurements of uncorrected and best corrected (BCVA) visual acuity after recutting LASIK flaps were collected. Surveys of refractive surgeons and an analysis of changing practice trends among the authors and these surgeons were assessed. Results: In 12 cases, significant loss of BCVA and subjective visual difficulties resulted from recutting LASIK flaps. Most surveyed surgeons had changed their practice from recutting to lifting flaps even 9 to 10 years postoperatively with good results. Conclusion: Recutting flaps for enhancement should be avoided unless other alternatives are unavailable.

AB - Purpose: To report serious complications caused by recutting laser in situ keratomileusis (LASIK) flaps for enhancement and reconsider the current preferred method of LASIK enhancement. Setting: Multiple surgeon practices. Methods: This retrospective noncomparative nonconsecutive case series comprised LASIK patients in the private practices of 9 experienced refractive surgeons and those reported in a survey of refractive surgeons. Case histories, refractions, corneal topographies, slitlamp photographs, and measurements of uncorrected and best corrected (BCVA) visual acuity after recutting LASIK flaps were collected. Surveys of refractive surgeons and an analysis of changing practice trends among the authors and these surgeons were assessed. Results: In 12 cases, significant loss of BCVA and subjective visual difficulties resulted from recutting LASIK flaps. Most surveyed surgeons had changed their practice from recutting to lifting flaps even 9 to 10 years postoperatively with good results. Conclusion: Recutting flaps for enhancement should be avoided unless other alternatives are unavailable.

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JO - Journal of Cataract and Refractive Surgery

JF - Journal of Cataract and Refractive Surgery

IS - 12

ER -

To lift or recut: Changing trends in LASIK enhancement

Abstract

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