Skip to main content
SpringerLink
Log in

Femtosecond Laser

  • Chapter
Management of Complications in Refractive Surgery

Abstract

■ In this chapter, the authors illustrate the types of potential complications that can arise from the use of the femtosecond laser:

  • To compare the similarities and differences of the available flap making technologies

  • To discuss, where these technologies are similar, the unique complications that arise from the microkeratome versus the femtosecond laser

  • To provide the reader knowledge of the current state of the art of flap making as well as its strengths and weaknesses

Dr. Ignacio’s contribution to this book chapter was limited to data collection and analysis. All data contributed by Dr. Ignacio is intended to supplement the knowledge of physicians and other health care professionals involved in patient care.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Binder PS (2004) Flap dimensions created with the IntraLase FS laser. J Cataract Refract Surg 30:26–32

    Article  PubMed  Google Scholar 

  2. Kezirian GM, Stonecipher, KG (2004) Comparison of the Intra-Lase femtosecond laser and mechanical keratome for laser in situ keratomileusis. J Cataract Surg 30:804–811

    Article  Google Scholar 

  3. Durrie DS, Kezirian GM (2005) Femtosecond laser versus mechanical keratome flaps in wavefront guided laser in situ keratomileusis: prospective contralateral eye study. J Cataract Refract Surg 31:120–126

    Article  PubMed  Google Scholar 

  4. Montes-Mico R, Rodriguez-Galietero A, Alió JL (2007) Femtosecond laser versus mechanical keratome LASIK for Myopia. Ophthalmology 114:62–68

    Article  PubMed  Google Scholar 

  5. Stonecipher KG, Dishler JG, Ignacio TS, Binder PS (2006) Transient Light Sensitivity after femtosecond laser flap creation: clinical findings and management. J Cataract Refract Surg 32:91–94

    Article  PubMed  Google Scholar 

  6. Binder, PS (2006) 1,000 LASIK flaps created with the IntraLase FS laser. J Cataract Refract Surg 32:962–969

    Article  PubMed  Google Scholar 

  7. Knorz M (2002) Flap and interface complications in LASIK. Curr Opin in Ophthalmol 13:242–245

    Article  Google Scholar 

  8. Principe A, Lin D, Small K, Aldave A (2004) Macular hemorrhage after LASIK with femtosecond laser flap creation. AJO 138:657–659

    Google Scholar 

  9. Linebarger EJ, Hardten DR, Lindstrom RL (2000) Diffuse lamellar keratitis: diagnosis and management. J Cataract Refract Surg 26:1072–1077

    Article  PubMed  CAS  Google Scholar 

  10. Lazaro C, Perea J, Aria A (2006) Surgical-glove-related diffuse lamellar keratitis alter LASIK: long-term outcomes. J Cataract Refract Surg 32:1702–1709

    Article  PubMed  Google Scholar 

  11. Holland J, Mathias R, Morck D, Chiu J, Slade S (2000) Diffuse lamellar keratitis related to endotoxins released from sterilizer reservoir biofilms. Ophthalmology 107:1227–1234

    Article  PubMed  CAS  Google Scholar 

  12. Whitby JL, Hitchins V (2002) Endotoxin levels in steam and reservoirs of tabletop steam sterilizers. J Refract Surg 18:51–57

    PubMed  Google Scholar 

  13. Yuhan K, Nguyen L, Boxer-Wachler B (2002) Role of instrument cleaning and maintenance in the development of DLK. Ophthalmology 109:400–404

    Article  PubMed  Google Scholar 

  14. Smith R, Maloney R (1998) Diffuse lamellar keratitis: a new syndrome in lamellar refractive surgery. Ophthalmol 105:1721–1726

    CAS  Google Scholar 

  15. Frankel GE, Cohen PR, Sutton GL, Lawless MA, Rogers CM (1998) Central focal interface opacity after laser in situ keratomileusis. J Refract Surg 14:571–576

    Google Scholar 

  16. Parolini B, Marcon G, Panozzo GA (2001) Central necrotic lamellar inflammation after laser in situ keratomileusis. J Refract Surg 17:110–112

    PubMed  CAS  Google Scholar 

  17. Lichter H, Russell G, Waring GO (2004) Repositioning the laser in situ keratomileusis flap at the slit lamp. J Refract Surg 20:166–169

    PubMed  Google Scholar 

  18. Vivien M, Tham B, Maloney R (2000) Microkeratome complications of laser in situ keratomileusis. Ophthalmol 107:920–924

    Google Scholar 

  19. Tanzer DJ, Schallhorn S, Brown MC et al (2005) Comparison of femtosecond vs. Mechanical microkeratome in wavefront guided LASIK. Data presented at the American Society of Cataract and Refractive Surgery Symposium; Washington, D.C.

    Google Scholar 

  20. Tran D, Sarayaba M, Bor Z, et al (2005) Randomized prospective clinical study comparing induced aberrations with IntraLase and Hansatome flap creation in fellow eyes. Potential impact on wavefront-guided laser in situ keratomileusis. J Cataract Refract Surg 31:97–105

    Article  PubMed  Google Scholar 

  21. Galal A, Artola A, Belda J, Rodriguez-Prats J, Claramonte P, Sanchez A, Ruiz-Moreno O, Merayo J, Alió J (2006) Interface corneal edema secondary to steroid-induced elevation of intraocular pressure simulating diffuse lamellar keratitis. J Refract Surg 22:441–447

    PubMed  Google Scholar 

  22. Kim A, Myrowitz E, Pettinelli D, Stark W, Chuck R (2006) Appearance of gas bubbles in the anterior chamber after femtosecond laser flap creation. Data presented at the 2006 ARVO meeting, Fort Lauderdale, Fla.

    Google Scholar 

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

    Article  PubMed  Google Scholar 

  24. Steinert R, Ashrafzadeh A, Hersh P (2004) Results of phototherapeutic keratotomy in the management of flap striae after LASIK. Ophthalmol 111:740–746

    Google Scholar 

References

  1. Liu Q, Gong XM, Chen JQ et al (2005) Laser in situ keratomileusis induced corneal perforation and recurrent corneal epithelial ingrowth. J Cataract Refract Surg 31:857–859

    Article  PubMed  Google Scholar 

  2. Leung AT, Rao SK, Cheng AC et al (2000) Pathogenesis and management of laser in situ keratomileusis flap buttonhole. J Cataract Refract Surg 26:358–362

    Article  PubMed  CAS  Google Scholar 

  3. Schallhorn SC, Amesbury EC, Tanzer DJ (2006) Avoidance, recognition, and management of LASIK complications. Am J Ophthalmol 141:733–739

    Article  PubMed  Google Scholar 

  4. Epstein AJ, Clinch TE, Moshirfar M et al (2005) Results of late flap removal after complicated laser in situ keratomileusis. J Cataract Refract Surg 31:503–510

    Article  PubMed  Google Scholar 

  5. Davison PF, Galbavy EJ (1986) Connective tissue remodeling in corneal and scleral wounds. Invest Ophthalmol Vis Sci 27:1478–1484

    PubMed  CAS  Google Scholar 

  6. Ishizaki M, Shimoda M, Wakamatsu K et al (1997) Stromal fibroblasts are associated with collagen IV in scar tissues of alkali-burned and lacerated corneas. Curr Eye Res 16:339–348

    Article  PubMed  CAS  Google Scholar 

  7. Carlson EC, Wang IJ, Liu CY et al (2003) Altered KSPG expression by keratocytes following corneal injury. Mol Vis 9:615–623

    PubMed  CAS  Google Scholar 

  8. Stonecipher K, Ignacio TS, Stonecipher M (2004) Advances in refractive surgery: microkeratome and femtosecond laser flap creation in relation to safety, efficacy, predictability, and biomechanical stability. J Cataract Refract Surg 30:804–811

    Article  PubMed  Google Scholar 

  9. Kezirian GM, Stonecipher KG (2004) Comparison of the IntraLase femtosecond laser and mechanical keratomes for laser in situ keratomileusis. J Cataract Refract Surg 30:804–811

    Article  PubMed  Google Scholar 

  10. Durrie DS, Kezirian GM (2005) Femtosecond laser versus mechanical keratome flaps in wavefront-guided laser in situ keratomileusis: prospective contralateral eye study. J Cataract Refract Surg 31:120–126

    Article  PubMed  Google Scholar 

  11. Flanagan GW, Binder PS (2003) Precision of flap measurements for laser in situ keratomileusis in 4428 eyes. J Refract Surg 19:113–123

    PubMed  Google Scholar 

  12. Binder PS (2004) Flap dimensions created with the IntraLase FS laser. J Cataract Refract Surg 30:26–32

    Article  PubMed  Google Scholar 

  13. Munoz G, Albarran-Diego C, Sakla HF et al (2006) Femtosecond laser in situ keratomileusis after radial keratotomy. J Cataract Refract Surg 32:1270–1275

    Article  PubMed  Google Scholar 

  14. Kymionis GD, Tsiklis N, Pallikaris AI et al (2006) Long-term results of superficial laser in situ keratomileusis after ultrathin flap creation. J Cataract Refract Surg 32:1276–1280

    Article  PubMed  Google Scholar 

  15. Jin GJ, Merkley KH (2006) Laceration and partial dislocation of LASIK flaps 7 and 4 years postoperatively with 20/20 visual acuity after repair. J Refract Surg 22:904–905

    PubMed  Google Scholar 

  16. Sharma N, Ghate D, Argarwal T et al (2005) Refractive outcomes of laser in situ keratomileusis after flap complications. J Cataract Refract Surg 31:1334–1337

    Article  PubMed  Google Scholar 

  17. Jabbur NS, Myrowitz E, Wexler JL et al (2004) Outcome of second surgery in LASIK cases aborted due to flap complications. J Cataract Refract Surg 30:993–999

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. TLC Greensboro, 3312 Battleground Ave., Greensboro, NC, 27410, USA

    Karl G. Stonecipher M.D. (Medical Director)

  2. IntraLase Corp., 9701 Jeronimo Rd., Irvine, CA, 92618, USA

    Teresa S. Ignacio M.D.

  3. 1009 Country Club Drive, Greensboro, NC, 27408, USA

    Kody G. Stonecipher

  4. Sioux Valley, Clinic, Talley Building, Sioux Falls, SD, USA

    Vance Thompson M.D., F.A.C.S. (Director)

  5. Sanford Clinic Vance Thompson Vision, 1310 West 22nd Street, 2nd Floor, Sioux Falls, SD, 57105, USA

    Vance Thompson M.D., F.A.C.S. (Director)

Authors
  1. Karl G. Stonecipher M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Teresa S. Ignacio M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kody G. Stonecipher
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Vance Thompson M.D., F.A.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Vissum Corporation, Avda de Denia s/n, Edificio Vissum, 03016, Alicante, Spain

    Jorge L. Alió M.D., Ph.D. (Professor and Chairman of Ophthalmology, Medical Director) (Professor and Chairman of Ophthalmology, Medical Director)

  2. Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, 3.138 EEI MC 648, 1855 W. Taylor Street, Chicago, IL, 60612, USA

    Dimitri T. Azar M.D. (Professor and Head) (Professor and Head)

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Stonecipher, K.G., Ignacio, T.S., Stonecipher, K.G., Thompson, V. (2008). Femtosecond Laser. In: Alió, J.L., Azar, D.T. (eds) Management of Complications in Refractive Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-37584-5_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-37584-5_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-37583-8

  • Online ISBN: 978-3-540-37584-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation