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Management of long-standing partially torn and flipped laser in situ keratomileusis flaps

Authors
 Jin Sun Kim  ;  Byunghoon Chung  ;  Taekjune Lee  ;  Woon Cho Kim  ;  Tae-im Kim  ;  Eung Kweon Kim 
Citation
 Journal of Cataract and Refractive Surgery, Vol.41(2) : 464-467, 2015 
Journal Title
 Journal of Cataract and Refractive Surgery 
ISSN
 0886-3350 
Issue Date
2015
Abstract
We describe 2 cases of traumatized and torn laser in situ keratomileusis (LASIK) flaps, partially flipped anteriorly or posteriorly, fixed for 8 months or 4 months, and accompanied by epithelial ingrowth. The 2 patients had had uneventful bilateral LASIK 6 years and 1 year before the trauma. In Case 1, the anteriorly flipped flap was removed with transepithelial phototherapeutic keratectomy. Next, mitomycin-C 0.04% was applied for 30 seconds. In Case 2, the portion of the flap that was flipped posteriorly and buried under the remaining intact LASIK flap was restored to its original normal position and epithelial ingrowth was removed mechanically with a microcurette. Irrigation with 20% ethanol was performed to inhibit the recurrence of interfacial epithelial ingrowth. The stretched amniotic membrane overlay over the cornea and sclera was sutured tightly to the episclera as the biologic pressure patch for the inhibition of epithelial re-ingrowth. Good visual acuity was restored in both cases.
Full Text
http://www.sciencedirect.com/science/article/pii/S0886335014016800
DOI
10.1016/j.jcrs.2014.11.033
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eung Kweon(김응권) ORCID logo https://orcid.org/0000-0002-1453-8042
Kim, Jin Sun(김진선)
Kim, Tae Im(김태임) ORCID logo https://orcid.org/0000-0001-6414-3842
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139624
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