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Management of detached lenticule after in situ keratomileusis

Authors
 Eung K. Kim  ;  Chul M. Choe  ;  Shin J. Kang  ;  Hong B. Kim 
Citation
 JOURNAL OF REFRACTIVE SURGERY, Vol.12(1) : 175-179, 1996-01 
Journal Title
JOURNAL OF REFRACTIVE SURGERY
ISSN
 1081-597X 
Issue Date
1996-01
MeSH
Adult ; Cornea / pathology ; Cornea / surgery* ; Female ; Humans ; Lens, Crystalline / pathology ; Lens, Crystalline / surgery* ; Male ; Postoperative Complications / therapy* ; Postoperative Period ; Recurrence ; Suture Techniques ; Visual Acuity
Abstract
Attachment of a keratomileusis lenticule without sutures is a commonly used technique that reduces surgery time and makes the procedure more simple. Detachment of the lenticule after surgery is a difficult complication to manage.

Three cases of lenticular detachment occurred among 74 eyes of microkeratome in situ keratomileusis without suture. After thorough washing of the lenticule and stromal bed, the lenticules were reattached with air drying.

In the first eye, the lenticule was reattached successfully with air only. In the second and third eyes, epithelial growth along the interface appeared after reattachment. In spite of removing the epithelium from the interface and suturing the lenticule to the stromal bed four times, the epithelial growth recurred along the interface. Peripheral corneal neovascularization forced the surgeon to abandon more trials of resuturing. In the second eye, the lenticule was discarded because the epithelial growth along the interface could not be blocked. In the third eye, the edge of the lenticule was buried into the stroma, mimicking epikeratoplasty. All three eyes retained useful visual acuity.

A detached lenticule after microkeratome keratomileusis is difficult to replace without epithelial growth in the interface. This complication may be managed successfully.
Full Text
http://search.proquest.com/docview/866987985?accountid=131089
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/22282913/183711
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