Ento Key

7 Flap Tears ETIOLOGY AND INCIDENCE OF FLAP TEARS Femtosecond LASIK Flap tears occur with the femtosecond laser mostly during flap dissection rather than during flap creation. Femtosecond-created flaps are…

1 The Normal LASIK Procedure A Step-By-Step Surgical Approach LASIK STEPS Preparing Instruments LASIK instrument trays can be divided into the following 2 different areas: used instruments area and sterile…

10 Epithelial Defect ETIOLOGY AND INCIDENCE OF EPITHELIAL DEFECT Femtosecond and Microkeratome LASIK An epithelial defect is defined as an area of epithelium with a break or loose cells greater…

13 Subconjunctival Hemorrhage and Bleeding ETIOLOGY AND INCIDENCE OF SUBCONJUNCTIVAL HEMORRHAGE AND BLEEDING Femtosecond LASIK Subconjunctival hemorrhage can occur with IntraLase platforms (Abbott Medical Optics) when the syringe is applied…

5 Opaque Bubble Layer ETIOLOGY AND INCIDENCE OF OPAQUE BUBBLE LAYER Opaque bubble layer (OBL) varies in incidence depending on the particular femtosecond laser that is used. Some femtosecond laser…

6 Free Flaps ETIOLOGY AND INCIDENCE OF FREE FLAPS Femtosecond LASIK A free flap or a cap is a rare but significant complication that can occur with femtosecond LASIK. This…

3 Air Bubbles in the Anterior Chamber ETIOLOGY AND INCIDENCE OF AIR BUBBLES IN ANTERIOR CHAMBER Anterior chamber (AC) gas bubbles are an occurrence specific to the femtosecond laser.1 It…

2 Loss of Suction ETIOLOGY AND INCIDENCE OF LOSS OF SUCTION Loss of suction can occur during flap creation, either with a femtosecond laser or with a microkeratome.1 Loss of…

12 Decentered Flaps ETIOLOGY AND INCIDENCE OF DECENTERED FLAPS Appropriate flap centration is crucial for the success of LASIK. Creating a flap with an adequate diameter is necessary to create…

14 Special Considerations DIFFICULT DOCKING The following are 5 main factors that may coexist and result in difficult docking: small palpebral fissure (Figure 14-1), lid squeezing, conjunctival chalasis (Figure 14-2),…