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A simple method for the removal of epithelium grown beneath the hinge after LASIK

Authors
 Jeong Soo Lim  ;  Eung Kweon Kim  ;  Jae Bum Lee  ;  Jong Hyuck Lee 
Citation
 YONSEI MEDICAL JOURNAL, Vol.39(3) : 236-239, 1998 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
1998
MeSH
Adult ; Epithelium, Corneal/pathology* ; Epithelium, Corneal/surgery* ; Female ; Humans ; Lasers, Excimer ; Male ; Photorefractive Keratectomy/adverse effects* ; Reoperation ; Suture Techniques ; Treatment Outcome ; Visual Acuity/physiology
Abstract
The purpose of this study is to demonstrate a method of how to remove epithelium grown beneath the hinge area after laser in situ keratomileusis (LASIK) without affecting the refractive part of the lenticule. In three cases, an incision was made at the base of the hinge by RK diamond knife to free the lenticule from the stroma. The lenticule was lifted from the nasal edge. The epithelium grown along the interface beneath the hinge area was removed with a Bard-Parker No. 15 knife. The lenticular flap was repositioned with interrupted sutures using 10-0 nylon. No further epithelial ingrowth was observed. The central cornea remained clear leaving a peripheral ring-shaped opacity without affecting the preoperative naked visual acuity. In conclusion, epithelial ingrowth along the interface after LASIK can be removed safely without affecting the refractive part by the incision of the hinge area with a RK diamond knife, removal of the epithelium, and suturing of the lenticule to the stromal bed.
Files in This Item:
T199803004.pdf Download
DOI
10.3349/ymj.1998.39.3.236
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
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177021
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