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Impressum
Introducing a new stratified classification and management guide for lasik complications
Gulani A. C.
Laser Refractive and Corneo-Plastic Surgery, Department of Ophthalmology, University of Florida, Jacksonville, Florida, USA
Purpose: To introduce a new classification system for Lasik complication
reporting and analyze outcomes at the micron level.
Method: This Stratified classification assigns Lasik complications
to the three tiers of lasik tissue components ie. Corneal section, Interface,
and Stromal bed, thus aiding analysis of corneal complications and focused
correction of the same. Corneal complications having occurred over 1 year
during LASIK with over 500 eyes were evaluated and preventive and management
strategies discussed.
Results: Most of the corneal complications were technique and instrumentation
related. Assignment of corneal complications to their respective levels
(Tiers) in the cornea assisted a better understanding and effective management
of the same.
Conclusions: Prior pilot check and dedicated pre-op testing with
adequate preparation for unusual eyes can significantly decrease the incidence
of corneal complications. This classifications system introduces the concept
of micron analysis in the field of Laser refractive surgery.