TY - JOUR
T1 - LASIK interface primary complications
AU - de Moraes, Renata Loures Bueno
AU - Ghanem, Vinícius Coral
AU - Ghanem, Ramon Coral
AU - Santhiago, Marcony R.
PY - 2016
Y1 - 2016
N2 - Laser in situ Keratomileusis (LASIK) is one of the most accepted techniques in refractive surgery today. Its predictability, reproducibility, safety and low incidence of side effects justify the wide diffusion of this technique. This is a laser surgical procedure which purpose consists in the modification of corneal structure, allowing a shift of the focal point of the eye. Thus, it is possible to correct refractive errors such as myopia, astigmatism and small degrees of hyperopia. The LASIK technique creates a corneal flap interface with the use of a microkeratome or femtosecond laser. Then, excimer laser is applied on the stroma bed followed by repositioning of the flap, creating an interface between the anterior and posterior corneal lamella. Despite the numerous advantages there are patologies that originate from primary complications of the interface which can caused confusion during diagnosis because they have similarities in their clinical presentation. The aim of this work is to define, characterize and compare those entities with the intention of making the diagnosis easier so that there is appropriate conduct. As result, this study presents recommendations for the management of each kind of interface disease through investigation by medical history and physical examination, in order to allow differential diagnosis between the main primary entities of the LASIK procedure interface.
AB - Laser in situ Keratomileusis (LASIK) is one of the most accepted techniques in refractive surgery today. Its predictability, reproducibility, safety and low incidence of side effects justify the wide diffusion of this technique. This is a laser surgical procedure which purpose consists in the modification of corneal structure, allowing a shift of the focal point of the eye. Thus, it is possible to correct refractive errors such as myopia, astigmatism and small degrees of hyperopia. The LASIK technique creates a corneal flap interface with the use of a microkeratome or femtosecond laser. Then, excimer laser is applied on the stroma bed followed by repositioning of the flap, creating an interface between the anterior and posterior corneal lamella. Despite the numerous advantages there are patologies that originate from primary complications of the interface which can caused confusion during diagnosis because they have similarities in their clinical presentation. The aim of this work is to define, characterize and compare those entities with the intention of making the diagnosis easier so that there is appropriate conduct. As result, this study presents recommendations for the management of each kind of interface disease through investigation by medical history and physical examination, in order to allow differential diagnosis between the main primary entities of the LASIK procedure interface.
KW - Keratomileusis, laser in situ/adverse effects
KW - Ophthalmological surgical procedures/adverse effects
UR - http://www.scopus.com/inward/record.url?scp=84956885778&partnerID=8YFLogxK
U2 - 10.5935/0034-7280.20160017
DO - 10.5935/0034-7280.20160017
M3 - Artículo
AN - SCOPUS:84956885778
SN - 0034-7280
VL - 75
SP - 70
EP - 75
JO - Revista Brasileira de Oftalmologia
JF - Revista Brasileira de Oftalmologia
IS - 1
ER -