International Ophthalmology

, Volume 34, Issue 5, pp 1107–1114 | Cite as

Intraoperative and early postoperative flap-related complications of laser in situ keratomileusis using two types of Moria microkeratomes

  • Yunus Karabela
  • Orkun Muftuoglu
  • Ibrahim Gokhan Gulkilik
  • Mehmet Selim Kocabora
  • Mustafa Ozsutcu
Original Paper


The purpose of this study is to describe the incidence, management, and visual outcomes of intraoperative and early postoperative flap-related complications of laser in situ keratomileusis (LASIK) surgery using two types of Moria M2 microkeratomes. This retrospective analysis was performed on 806 primary LASIK cases. The intraoperative and early postoperative flap-related complications were identified and categorized according to type of Moria microkeratome. There were 52 intraoperative and early postoperative complications—one case of partial flap (0.124 %), one case of free flap (0.124 %), one case of small flap (0.124 %), 13 cases of epithelial defect (1.61 %), 12 cases of flap striae (1.49 %), 10 cases of diffuse lamellar keratitis (1.24 %), 10 cases of interface debris (1.24 %), three cases of epithelial ingrowth (0.37 %), and one case of microbial infection (0.124 %). The overall incidence of flap complications was 6.45 %. There were 27 right eye (6.73 %) and 25 left eye (6.17 %) complications. The incidence of complications with the Moria automated metallic head 130 microkeratome was 4.22 % and with the Moria single-use head 90 microkeratome was 2.23 %. We observed one culture-negative interface abscess which was cured with surgical cleaning and intensive medical treatment. The most common complication encountered was epithelial defects, followed by flap striae. Our study showed that LASIK with a microkeratome has a relatively low incidence of intraoperative and early postoperative flap complications. The authors have no financial interest in any of the issues contained in this article and have no proprietary interest in the development of marketing of or materials used in this study.


Early postoperative flap complication Intraoperative flap complication Laser in situ keratomileusis LASIK Microkeratome 


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Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  • Yunus Karabela
    • 1
  • Orkun Muftuoglu
    • 1
  • Ibrahim Gokhan Gulkilik
    • 1
  • Mehmet Selim Kocabora
    • 1
  • Mustafa Ozsutcu
    • 1
  1. 1.Department of Ophthalmology, Medipol Mega Universite Hastanesi, Goz HastaliklariIstanbul Medipol UniversityIstanbulTurkey

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