LASIK Complications

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LASIK complications can be categorized to intraoperative and postoperative complications:

Intraoperative Complications

The intraoperative complication rate has been reported between 0.7-6.6%1, most commonly microkeratome-related, either mechanical or femtosecond (FS) Laser.

Disease

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Etiology

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Risk Factors

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General Pathology

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Pathophysiology

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Primary prevention

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Diagnosis

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History

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Physical examination

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Signs

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Symptoms

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Clinical diagnosis

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Diagnostic procedures

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Laboratory test

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Differential diagnosis

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Management

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General treatment

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Medical therapy

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Medical follow up

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Surgery

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Surgical follow up

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Complications

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Prognosis

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Additional Resources

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References

1. Azar DT, Koch DD. LASIK: Fundamentals, surgical techniques, and complications. New York. Basel, Marcel Dekker, Inc. 2003

2. Brint SF, Ostrick M, Fisher C, et al. Six-month results of the multicenter phase 1 study of excimer laser myopia keratomileusis. J Cataract Refract Surg 1994;20:610-615.

3. Pallikaris IG, Siganos DS. Excimer laser in situ keratomileusis and photorefractive keratectomy for correction of high myopia. J refract Corneal surg 1994;10:498-510

4. Joo CK, Kim TG. Corneal perforation during laser in situ keratomileusis. J Cataract Refract Surg 1999;25:1165-1167

5. Mulhern MG, Condon PI, O’Keefe M. Endophthalmitis after laser in situ keratomileusis. J Cataract Refract Surg 1997;23:948-950.

6. Srinivasan S, Herzig S. Sub-epithelial gas breakthrough during femtosecond laser flap creation for LASIK. Br J Ophthalmol 2007; 91:1373

7. Soong HK, Malta JB. Femtosecond lasers in Ophthalmology. Am J Ophthalmol 2009; 147:189-197

8. Srinivasan S, Rootman DS. Anterior chamber gas bubble formation during femtosecond laser flap creation for LASIK. J Refract Surg 2007; 23:828-830

9. Lifshitz T, Levy J, Klemperer I, Levinger S. Anterior chamber gas bubbles after corneal flap creation with a femtosecond laser. J Cataract Refract Surg 2005; 31:2227-2229

10. Rapuano CJ, Belin MW, Boxer-Wachler BS, et al. Refractive surgery. Basic and Clinical Science Course, Section 13. San Francisco CA. AAO 2009-2010.

11. Hirst LW, Vandeleur KW. Laser in situ keratomileusis interface deposits. J refract Surg 1998;14:653-654

12. Ozdamar A, Sener B, Aras C, Aktunc R. Laser in situ keratomileusis after photorefractive keratectomy for myopic regression. J Cataract Refract Surg 1998; 24:1208-1211.

13. Huang D, Stulting RD, Carr JD, Thompson KP, Waring III GO. Multiple regression and vector analysis of Laser in situ keratomileusis for myopia and astigmatism. J refract Surg 1999;15:538-549.

14. Ditzen K, Handzel A, Pieger S. Laser in situ keratomileusis nomogram development. J refract Surg 1999;15(suppl):S197-S201.




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